Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-04-14-11

Project Information

Project IdentifiersProject ID: 215396
DEA: 042K8404
EFIS: 0417000031
DIST-CO-RTE-PM04-SOL-29,80-0.0,0.8/1.6
Award Date03/26/2021
Closeout Date02/16/2024
Work DescriptionHMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location DescriptionSOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
QA Service Level1 (Verified on 01/25/2021)

Sample Information

Sample Taken Date04/14/2023 Sample Unique Key11
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 testing04/14/2023
Sample typeQuality Assurance A brief description of the sample1X4" PCC and Sand
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byIgnacio Last name of sampler or witnessed byArechiga
Title of samplerQA Technician Telephone number of sampler5102077252
Laboratory sample identificationCon_23_296 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCentral Vallejo (Lake Herman) Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-48-0002
The fabricator's/manufacturer's product name for the sampleHWY 80/29 The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberD10115EA Lot number
Sublot number Aggregate Mix NumberD10115EA

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-14-11-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesIGNACIO ARECHIGA, CT D04 - Concord Field Laboratory04/14/2023IGNACIO ARECHIGA
Yes
04/17/2023Failed Sive # 3/8,16,30,50
2023-04-14-11-2CTM 217-June 2011: Method of Test for Sand EquivalentIGNACIO ARECHIGA, CT D04 - Concord Field Laboratory04/14/2023IGNACIO ARECHIGA
Yes
04/17/2023S.E
2023-04-14-11-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingIGNACIO ARECHIGA, CT D04 - Concord Field Laboratory04/14/2023IGNACIO ARECHIGA
Yes
04/17/2023
2023-04-14-11-4CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesIGNACIO ARECHIGA, CT D04 - Concord Field Laboratory04/14/2023IGNACIO ARECHIGA
Yes
04/17/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-04-14-11-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-04-14-11-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-04-14-11-3 CTM 226-July 2010 (Verified)
DIME Test ID: 2023-04-14-11-4 CTM 202-November 2011 (Verified)