Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2019-11-15-40
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Project Information
| Project Identifiers | Project ID: 210617 DEA: 042J1004 EFIS: 0414000426 COOP: 042549 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29-11.3/11.6 |
| Award Date | 02/27/2019 |
| Closeout Date | 09/28/2021 |
| Work Description | CONSTRUCT TWO SEPARATE ROUNDABOUT PROJECTS TOGETHER INTO ONE SINGLE PROJECT AND CONSTRUCTION CONTRACT. |
| Location Description | AT THE INTERSECTIONS OF FIRST STREET/ CALIFORNIA BLVD AND SECOND STREET/CALIFORNIA BLVD (CITY) AND AT HE STATE ROUTE 29 NORTHBOUND ON AND OFF RAMPS AND FIRST STREET ( CALTRANS) |
| QA Service Level | 1 (Verified on 08/19/2019) |
Sample Information
| Sample Taken Date | 11/15/2019 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 12/13/2019 |
| Sample type | Annual Source Testing | A brief description of the sample | 1"X#4 Aggregates |
| The quantity of what the sample constitutes | 10 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Zantino Ochoa | Last name of sampler or witnessed by | Zantino Ochoa |
| Title of sampler | QC Tech | Telephone number of sampler | 925-3035021 |
| Laboratory sample identification | Con_19_786 | Linked DIME Sample ID | NA |
| The fabricator/manufacturer/facility name | Cemex Kerlinger | Transportation Laboratory (TL) Number | C752224 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | 39-San Joaquin |
| Structure name | NA |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-39-0015::KERLINGER - RHODES |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | NA | The fabricator/manufacturer designation for the sample | NA |
| The plant number | NA | A detailed description of where the material sample was collected | Stockfile |
| Where the material sample would have been placed if not sampled | No | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | NA | Lot number | 1 |
| Sublot number | 1 | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-11-15-40-1 CTM 202-November 2011 (Verified)