Sample Record

Owner Lab

  • CT D04 - Richmond Field Laboratory

DIME Sample ID 2013-06-25-11356443

Project Information

Project IdentifiersProject ID: 2114
DEA: 04294914
EFIS: 0400000794
COOP: 2203A3
DIST-CO-RTE-PM04-CC,ALA-24-8.2/10.0,0.0/2.7
Award Date11/10/2009
Closeout Date08/21/2018
Work DescriptionCONSTRUCT A 4TH CALDECOTT TUNNEL AND BLDG
Location DescriptionIn Alameda and Contra Costa Counties from East Temescal separation to 0.8 Km East of Gateway Blvd.
QA Service Level1 (Verified on 06/28/2012)

Sample Information

Sample Taken Date06/25/2013 Sample Unique Key11356443
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeAcceptance A brief description of the sample blended aggs
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byBilly Last name of sampler or witnessed byBob
Title of samplerTET -Pataluma Telephone number of sampler(510) 386-5268
Laboratory sample identification999-88-77-66-1 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameSYAR Lake Herman Drum Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-01-0007
The fabricator's/manufacturer's product name for the sampleSyar standard designation -123 The fabricator/manufacturer designation for the samplenumber 4444
The plant numberSyar Concrete - Vallejo A detailed description of where the material sample was collectedbelt an chute
Where the material sample would have been placed if not sampledPCC Pavement north end of Roddy Rod Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments