Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2024-05-21-140
Project Information
Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
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DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
Award Date | 04/26/2022 |
Closeout Date | Not set |
Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
Location Description | MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE |
QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
Sample Taken Date | 05/21/2024 | Sample Unique Key | 140 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 05/21/2024 |
Sample type | Acceptance | A brief description of the sample | 3/4" class 2 ab |
The quantity of what the sample constitutes | 4 bags | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Valdez |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Pet-24-195 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Roadway ex | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Jobsite |
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The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
The plant number | A detailed description of where the material sample was collected | STA 323+68 | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number |
Combined Gradation Report Information
Combined Gradation Report Id | Bin Index | Dime Test Id |
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No assigned tests for this sample. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-05-21-140-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-05-21-140-2 CTM 217-June 2011 (Verified)