Sample Record
Owner Lab
- RMA Group - Rancho Cordova
DIME Sample ID 2022-01-25-33
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Project Information
| Project Identifiers | Project ID: 214114 DEA: 040A5394 EFIS: 0418000244 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80,12-11.4/12.8, 2.1/2.8 |
| Award Date | Not set |
| Closeout Date | 02/24/2023 |
| Work Description | Widen EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc. |
| Location Description | I-80/I-680/Route 12 Interchange |
| QA Service Level | 1 (Verified on 04/23/2019) |
Sample Information
| Sample Taken Date | 01/25/2022 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 01/25/2022 |
| Sample type | Quality Control | A brief description of the sample | 1x4 Aggregate |
| The quantity of what the sample constitutes | 1 Day | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Erik | Last name of sampler or witnessed by | Haagensen |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Syar Vallejo | 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) | Syar 1110 |
|---|---|---|---|
| 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 | 3/4 inch | |
| The concrete mix design number | CT063AC5 | 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: 2022-01-25-33-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-25-33-2 CTM 227-December 2014 (Verified)