Sample Record

Owner Lab

  • Rinker Materials

DIME Sample ID 2021-10-05-18

Project Information

Project IdentifiersProject ID: 209820
DEA: 04297634
EFIS: 0415000040
COOP: 042548
DIST-CO-RTE-PM04-ALA-84,680-17.9/21
Award Date02/19/2021
Closeout DateNot set
Work DescriptionROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION.
Location DescriptionALAMEDA COUNTY IN AND NEAR SUNOL, PLEASANTON, AND LIVERMORE ON ROUTE 84 FROM 0.1 MILE EAST OF ROUTE 680 TO 0.1 MILE SOUTH OF RUBY HILL DRIVE AND ON ROUTE 680 FROM 1.2 MILES SOUTH TO 1.8 MILES NORTH OF ROUTE 84
QA Service Level1 (Verified on 11/04/2019)

Sample Information

Sample Taken Date10/05/2021 Sample Unique Key18
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 testing10/07/2021
Sample typeQuality Control A brief description of the sampleDry Cast concrete sample
The quantity of what the sample constitutes8 Cylinders From where was the sample collectedManufacturer
First name of sampler or witnessed byWally Last name of sampler or witnessed byBucaneg
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identification10-6-2021 Linked DIME Sample ID
The fabricator/manufacturer/facility nameForterra Pipe and Precast, Florin Rd Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameDrainage System W1

Material Information

Material TypeConcrete The concrete mix design numberMIX 5
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNA
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconveyor belt Where the material sample would have been placed if not sampledBox Culvert
From Lot No. Bag Lot No.

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