Sample Record

Owner Lab

  • Con-Fab California Corporation - Lathrop

DIME Sample ID 2021-06-22-8

Project Information

Project IdentifiersProject ID: 215424
DEA: 024G4404
EFIS: 0214000013
DIST-CO-RTE-PM02-SIS-3-38.0/38.6
Award Date03/22/2021
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionSISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD
QA Service Level1 (Verified on 01/19/2021)

Sample Information

Sample Taken Date06/22/2021 Sample Unique Key8
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 testing06/22/2021
Sample typeQuality Control A brief description of the sample1/2"x#4 rocks
The quantity of what the sample constitutesOne proportion from top, middle and bottom of stockpile From where was the sample collectedManufacturer
First name of sampler or witnessed byMark Patrick Last name of sampler or witnessed byBaddu
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConFab California, LLC 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 or name of Pit)91-39-0029
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 collectedOne proportion from top, middle and bottom of stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number98LV25AF Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-22-8-1ASTM C136-06: Standard Test Method for Sieve Analysis of Fine and Coarse AggregatesDanny CabiasCon-Fab California Corporation - Lathrop06/22/2021Danny Cabias
No
Info
2021-06-22-8-2ASTM D2419-09: Standard Test Method for Sand Equivalent Value of Soils and Fine AggregateDanny CabiasCon-Fab California Corporation - Lathrop06/22/2021Danny Cabias
No
Info
2021-06-22-8-3ASTM C117-13: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by WashingDanny CabiasCon-Fab California Corporation - Lathrop06/22/2021Danny Cabias
No
Info