Sample Record

Owner Lab

  • CT D04 - Hayward Field Laboratory

DIME Sample ID 2023-04-13-48

Project Information

Project IdentifiersProject ID: 215005
DEA: 044J7504
EFIS: 0416000005
DIST-CO-RTE-PM04-ALA-84-R0.73/3.06
Award Date07/07/2022
Closeout DateNot set
Work DescriptionINSTALL OUTER SEPARATION BARRIERS Concrete barrier, shoulder widening, striping, cold plane and overlay.
Location DescriptionALAMEDA COUNTY IN FREMONT FROM 0.7 MILE NORTH OF SAN MATEO COUNTY LINE TO 0.1 MILE SOUTH OF TOLL PLAZA
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date04/13/2023 Sample Unique Key48
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 sampleAC Cold Feed Aggregate 3/4"
The quantity of what the sample constitutes750 Tons From where was the sample collectedOther
First name of sampler or witnessed byJoseph Last name of sampler or witnessed byPuno
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta - Sunol Transportation Laboratory (TL) NumberC924864
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)91-01-0011
The fabricator's/manufacturer's product name for the sampleL200271V The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedCold Feed Sampling Device
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberL200271V Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-13-48-1CTM 217-June 2011: Method of Test for Sand EquivalentLuis Magana, CT D04 - Hayward Field Laboratory04/17/2023Leonardo Mendoza
Yes
05/03/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-04-13-48-1 CTM 217-June 2011 (Verified)