Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2024-05-21-140

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN 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 Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date05/21/2024 Sample Unique Key140
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 testing05/21/2024
Sample typeAcceptance A brief description of the sample3/4" class 2 ab
The quantity of what the sample constitutes4 bags From where was the sample collectedJob Site
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byValdez
Title of sampler Telephone number of sampler
Laboratory sample identificationPet-24-195 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRoadway ex Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Jobsite
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 collectedSTA 323+68
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Combined Gradation Report Information

Combined Gradation Report IdBin IndexDime Test Id
No assigned tests for this sample.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-05-21-140-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAnthony Valdez, CT D04 - Petaluma Field Laboratory05/22/2024Anthony Valdez
Yes
09/19/2024
2024-05-21-140-2CTM 217-June 2011: Method of Test for Sand EquivalentAnthony Valdez, CT D04 - Petaluma Field Laboratory05/22/2024Anthony Valdez
Yes
09/19/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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)