Sample Record
Owner Labs
- CT D04 - Concord Field Laboratory
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2023-01-10-25
Project Information
Project Identifiers | Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676 |
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DIST-CO-RTE-PM | 04-SOL-80-R10.4/30.2 |
Award Date | 01/18/2022 |
Closeout Date | Not set |
Work Description | Highway widening, overhead signs, and electronic toll system. |
Location Description | In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing. |
QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
Sample Taken Date | 01/10/2023 | Sample Unique Key | 25 |
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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 | 01/10/2023 |
Sample type | Annual Source Testing | A brief description of the sample | 1x 4 Pcc Aggregate |
The quantity of what the sample constitutes | 10 Bags | From where was the sample collected | Source |
First name of sampler or witnessed by | Not Witness | Last name of sampler or witnessed by | Plant Employee |
Title of sampler | QC Technician | Telephone number of sampler | (925) 406-9947 |
Laboratory sample identification | Rich_23_003 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Cemex Clayton | Transportation Laboratory (TL) Number | C727396 |
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) | 91-07-0004 |
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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 @ Yard | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-01-10-25-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-10-25-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-01-10-25-3 CTM 206-October 2011 (Verified)
DIME Test ID: 2023-01-10-25-4 CTM 211-May 2010 (Verified)
DIME Test ID: 2023-01-10-25-5 CTM 214-August 2010 (Verified)