Sample Record
Owner Lab
- RMA Group - Rancho Cordova
DIME Sample ID 2022-11-21-17
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215317 DEA: 101J0104 EFIS: 1018000079 |
|---|---|
| DIST-CO-RTE-PM | 10-CAL,CAL-88,34-34.6/2.2 |
| Award Date | 05/19/2022 |
| Closeout Date | 11/16/2023 |
| Work Description | Construct fuel island canopies. |
| Location Description | In Calaveras and Alpine counties on Route 26 at the West Point Maintenance Station and on Route 88 at the Caples Lake Maintenance Station. |
| QA Service Level | 1 (Verified on 07/29/2022) |
Sample Information
| Sample Taken Date | 11/21/2022 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 11/21/2022 |
| Sample type | Quality Control | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 100 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Rodriguez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | 711 Materials | 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) | 91-50-0022 |
|---|---|---|---|
| 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 | Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | 718816A6 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-11-21-17-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-11-21-17-2 CTM 227-December 2014 (Verified)