Sample Record

Owner Lab

  • Pavement Engineers

DIME Sample ID 2022-09-24-23

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date09/24/2022 Sample Unique Key23
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 testing09/24/2022
Sample typeQuality Control A brief description of the sampleSL-4201CG
The quantity of what the sample constitutes18 From where was the sample collectedJob Site
First name of sampler or witnessed byAlex Last name of sampler or witnessed byLong
Title of sampler Telephone number of sampler
Laboratory sample identificationS22-052 Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameDS 34 Invert Walls

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Shamrock Materials Petaluma
The fabricator's/manufacturer's product name for the sampleSL-4201CG The fabricator/manufacturer designation for the sampleSL-4201CG
The plant number A detailed description of where the material sample was collectedat plant
Where the material sample would have been placed if not sampledIn Concrete Primary Aggregate Nominal Size1 inch
The concrete mix design numberSL-4201CG Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-09-24-23-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMichelle Holub, Pavement Engineers09/26/2022Michelle Holub
Yes
12/13/2022
2022-09-24-23-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMichelle Holub, Pavement Engineers09/26/2022Michelle Holub
Yes
12/13/2022
2022-09-24-23-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMichelle Holub, Pavement Engineers09/26/2022Michelle Holub
Yes
12/13/2022
2022-09-24-23-4CTM 217-June 2011: Method of Test for Sand EquivalentMichelle Holub, Pavement Engineers09/26/2022Michelle Holub
Yes
12/13/2022
2022-09-24-23-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Michelle Holub, Pavement Engineers09/27/2022Michelle Holub
Yes
12/13/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-09-24-23-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-09-24-23-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-09-24-23-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-09-24-23-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-09-24-23-5 CTM 227-December 2014 (Verified)