Sample Record

Owner Lab

  • Forterra

DIME Sample ID 2021-10-10-2

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 Date10/10/2021 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing10/10/2021
Sample typeQuality Control A brief description of the sampleCourse aggregate
The quantity of what the sample constitutesweeks production From where was the sample collectedManufacturer
First name of sampler or witnessed byMike Last name of sampler or witnessed byKocunik
Title of samplerLab Manager Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Aggregates 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)91-34-0045::ASPEN IV SOUTH
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 collectedStockpile at the Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-10-2-1ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse AggregatesJoe BuckleyForterra10/10/2021Joe Buckley
Yes
10/20/2021