Sample Record
Owner Lab
- CT D04 - Hayward Field Laboratory
DIME Sample ID 2023-02-19-8
Project Information
Project Identifiers | Project ID: 215003 DEA: 040J6204 EFIS: 0414000019 |
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DIST-CO-RTE-PM | 04-ALA-680-12.4/21.9 |
Award Date | 04/12/2022 |
Closeout Date | Not set |
Work Description | REHABILITATE PAVEMENT - RPL APP/DEP SLABS, 14 BRIDGES |
Location Description | ALAMEDA COUNTY AT SUNOL AND IN PLEASANTON AND DUBLIN FROM KOOPMANN ROAD UNDERCROSSING TO ALAMEDA COUNTY LINE |
QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
Sample Taken Date | 02/19/2023 | Sample Unique Key | 8 |
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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 | 02/20/2023 |
Sample type | Quality Assurance | A brief description of the sample | 3- 6X6X21 Rapid Set Concrete Beams |
The quantity of what the sample constitutes | 130 cy | From where was the sample collected | Source |
First name of sampler or witnessed by | Magana | Last name of sampler or witnessed by | Luis |
Title of sampler | Consultant Tester | Telephone number of sampler | 2092250104 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Security Paving Portable Plant Pleasanton | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Rapid Set | Manufacturer | Vulcan |
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Mix no. | G3-22-PRS-319 | Materials Received | 3- 6X6X21 Beams |
Lot no. | 28 | Batch no. | 123 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-02-19-8-1 CTM 524-March 2013 (Verified)