Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2023-03-08-56
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214590 DEA: 043G4744 EFIS: 0412000074 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,MRN-580-6.9/7.8,0.0/2.5 |
| Award Date | 01/14/2021 |
| Closeout Date | Not set |
| Work Description | CLEAN AND PAINT STRUCTURAL STEEL BRIDGE. |
| Location Description | CONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET |
| QA Service Level | 1 (Verified on 02/18/2020) |
Sample Information
| Sample Taken Date | 03/08/2023 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | 03/08/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" PCC |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Ibarra |
| Title of sampler | Lab Technician | Telephone number of sampler | 19512083308 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert | 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) | 91-58-0006 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | CTS1/2 X 4 | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Stockpile @ Yard | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | 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: 2023-03-08-56-1 CTM 202-November 2011 (Verified)