Sample Record

Owner Lab

  • Trinity Engineering Laboratories, Incorporated - Fresno

DIME Sample ID 2020-07-29-30

Project Information

Project IdentifiersProject ID: 212324
DEA: 033F5104
EFIS: 0313000020
DIST-CO-RTE-PM03-YUB-20-R18.1/R20.1
Award Date10/31/2019
Closeout Date08/03/2023
Work DescriptionConstruct bridge, realign curve & widen shoulders.
Location DescriptionConstruction on state highway in Yuba County near Smartsville from the Yuba River Bridge to 0.3 mile east of Smartsville Road.
QA Service Level1 (Verified on 02/27/2020)

Sample Information

Sample Taken Date07/29/2020 Sample Unique Key30
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 testing07/30/2020
Sample typeQuality Control A brief description of the sampleCombined
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byRiley Last name of sampler or witnessed byDowdy
Title of samplerQC Technician Telephone number of sampler(559) 292-2188
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAAA Concrete Supply Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameYuba River Bridge

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-58-0006::HALLWOOD PLANT
The fabricator's/manufacturer's product name for the sampleCombined The fabricator/manufacturer designation for the sampleYuba River Bridge
The plant number29 A detailed description of where the material sample was collectedBelt Cut
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberZ5685210 Lot number1
Sublot number1 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-29-30-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesJoshua Guilmette, Trinity Engineering Laboratories, Incorporated - Fresno07/31/2020Christen Guilmette
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-07-29-30-1 CTM 202-November 2011