Sample Record
Owner Lab
- CT D04 - Hayward Field Laboratory
DIME Sample ID 2023-04-13-48
Project Information
Project Identifiers | Project ID: 215005 DEA: 044J7504 EFIS: 0416000005 |
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DIST-CO-RTE-PM | 04-ALA-84-R0.73/3.06 |
Award Date | 07/07/2022 |
Closeout Date | Not set |
Work Description | INSTALL OUTER SEPARATION BARRIERS Concrete barrier, shoulder widening, striping, cold plane and overlay. |
Location Description | ALAMEDA COUNTY IN FREMONT FROM 0.7 MILE NORTH OF SAN MATEO COUNTY LINE TO 0.1 MILE SOUTH OF TOLL PLAZA |
QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
Sample Taken Date | 04/13/2023 | Sample Unique Key | 48 |
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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 | 04/14/2023 |
Sample type | Quality Assurance | A brief description of the sample | AC Cold Feed Aggregate 3/4" |
The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Other |
First name of sampler or witnessed by | Joseph | Last name of sampler or witnessed by | Puno |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Martin Marietta - Sunol | Transportation Laboratory (TL) Number | C924864 |
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) | 91-01-0011 |
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The fabricator's/manufacturer's product name for the sample | L200271V | The fabricator/manufacturer designation for the sample | |
The plant number | A detailed description of where the material sample was collected | Cold Feed Sampling Device | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
The concrete mix design number | L200271V | Lot number | |
Sublot number | Aggregate Mix Number |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-04-13-48-1 CTM 217-June 2011 (Verified)