Sample Record
Owner Lab
- RMA Group - Rancho Cordova
DIME Sample ID 2021-05-20-13
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Project Information
| Project Identifiers | Project ID: 214572 DEA: 034E62U4 EFIS: 0319000068 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-18.5/24.2 |
| Award Date | 05/04/2020 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT UC, MED BARRIER, DRAINAGE SYSTEMS & HMA OVERLAY. |
| Location Description | EL DORADO COUNTY IN AND NEAR PLACERVILLE FROM MOSQUITO ROAD UNDERCROSSING TO SCHNELL SCHOOL ROAD UNDERCROSSING AND FROM 0.2 MILE WEST OF STILL MEADOW ROAD TO 0.2 MILE EAST OF CARSON ROAD |
| QA Service Level | 1 (Verified on 03/18/2020) |
Sample Information
| Sample Taken Date | 05/20/2021 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 05/21/2021 |
| Sample type | Quality Control | A brief description of the sample | 1" x #4 Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Jose | Last name of sampler or witnessed by | Murillo |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Syar | 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) | Granite 2364 |
|---|---|---|---|
| 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 | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | 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: 2021-05-20-13-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-05-20-13-2 CTM 227-December 2014 (Verified)