Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2022-12-15-48
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214640 DEA: 042J7204 EFIS: 0415000016 |
|---|---|
| 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 | 48 |
|---|---|---|---|
| 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 | 03/20/2023 |
| Sample type | Annual Source Testing | A brief description of the sample | 1/2" x No. 4 |
| The quantity of what the sample constitutes | 3 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 | 23-ASC-0054 | Linked DIME Sample ID | 2022-12-15-43 |
| The fabricator/manufacturer/facility name | Martin Marietta Clayton Aggregates | Transportation Laboratory (TL) Number | C422-281 |
| 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 |
|---|---|---|---|
| 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 | Martin Marietta-Clayton | |
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-12-15-48-1 CTM 214-August 2010 (Verified)