Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2023-01-26-102

Project Information

Project IdentifiersProject ID: 993776
DEA: 040J3004
EFIS: 0413000433
DIST-CO-RTE-PM04-SON-1-26.7/27.1
Award Date07/08/2022
Closeout DateNot set
Work DescriptionCONSTRUCTING RETAINING WALL AND CONFINEMENT SYSTEM TO RESTORE SLIPOUT.
Location DescriptionSONOMA COUNTY NEAR JENNER FROM 0.3 MILE TO 0.7 MILE NORTH OF MEYERS GRADE ROAD
QA Service Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date01/26/2023 Sample Unique Key102
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 testing01/26/2023
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes3 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byValdez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSyar Healdsburg 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)91-49-0030
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 collectedSyar Healdsburg
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-01-26-102-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesJose Ibarra-Roman, CT D04 - Petaluma Field Laboratory02/02/2023Jose Ibarra-Roman
Yes
05/04/2023
2023-01-26-102-2CTM 217-June 2011: Method of Test for Sand EquivalentJose Ibarra-Roman, CT D04 - Petaluma Field Laboratory02/02/2023Jose Ibarra-Roman
Yes
05/04/2023
2023-01-26-102-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingJose Ibarra-Roman, CT D04 - Petaluma Field Laboratory02/02/2023Jose Ibarra-Roman
Yes
05/04/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-01-26-102-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-26-102-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-01-26-102-3 CTM 226-July 2010 (Verified)