Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2022-12-15-43
Project Information
Project Identifiers | Project ID: 214640 DEA: 042J7204 EFIS: 0415000016 |
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DIST-CO-RTE-PM | 04-CC-580-1.17 |
Award Date | 02/25/2021 |
Closeout Date | 12/01/2023 |
Work Description | STEGE DRAIN SUPER-STRUCTURE, PRECAST VOIDED SLABS |
Location Description | CONTRA COSTA COUNTY IN RICHMOND FROM 0.3 MILE EAST OF STEGE DRAIN BRIDGE TO 0.3 MILE WEST OF BAYVIEW AVENUE OVERCROSSING |
QA Service Level | 1 (Verified on 01/27/2020) |
Sample Information
Sample Taken Date | 12/15/2022 | Sample Unique Key | 43 |
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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 | 12/16/2022 |
Sample type | Annual Source Testing | A brief description of the sample | 1/2" x No. 4 |
The quantity of what the sample constitutes | 10 Bags | From where was the sample collected | Source |
First name of sampler or witnessed by | Antonio | Last name of sampler or witnessed by | Fuentes |
Title of sampler | QC Technician | Telephone number of sampler | 9254069947 |
Laboratory sample identification | Rich_22_4936 | Linked DIME Sample ID | 2022-12-12-21 |
The fabricator/manufacturer/facility name | Martin Marietta Clayton Aggregates | 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) | 91-07-0003 |
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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 | source stockpile | |
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 |
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No results found. |
Test File Attachments
DIME Test ID: 2022-12-15-43-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-12-15-43-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-12-15-43-3 CTM 206-October 2011 (Verified)
DIME Test ID: 2022-12-15-43-4 CTM 211-May 2010 (Verified)