DIME - Sample Record for DIME Sample ID 2023-05-10-41

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Sample Record

Owner Lab

CT D04 - Concord Field Laboratory

DIME Sample ID 2023-05-10-41

Project Information

Project Identifiers	Project ID: 994120 DEA: 040J6314 EFIS: 0421000252
DIST-CO-RTE-PM	04-SOL-12-21.2/22.6
Award Date	09/16/2022
Closeout Date	Not set
Work Description	ROADWAY RESURFACING, INSTALL DRAINAGE SYSTEM, MIDWEST GUARDRAIL SYSTEM
Location Description	SOLANO COUNTY NEAR RIO VISTA FROM MCCLOSKY ROAD TO 0.1 MILE WEST OF AZEVEDO ROAD
QA Service Level	1 (Verified on 09/13/2022)

Sample Information

Sample Taken Date	05/10/2023	Sample Unique Key	41
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	05/10/2023
Sample type	Quality Assurance	A brief description of the sample	AC Drum Aggregate
The quantity of what the sample constitutes	4 Bags	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Ignacio	Last name of sampler or witnessed by	Arechiga
Title of sampler	plant QC manager	Telephone number of sampler	91606049121
Laboratory sample identification		Linked DIME Sample ID	2023-05-10-15
The fabricator/manufacturer/facility name	Teichert Materials Vernalis	Transportation Laboratory (TL) Number	C422-319
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)	91-39-0041
The fabricator's/manufacturer's product name for the sample	302-40432412-V	The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Conveyor Belt
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number	302-40432412-V	Lot number	0
Sublot number	0	Aggregate Mix Number

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2023-05-10-41-1	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	IGNACIO ARECHIGA, CT D04 - Concord Field Laboratory	05/15/2023	IGNACIO ARECHIGA	Yes	05/18/2023	05/10/2023 JMF - Verification

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2023-05-10-41-1 AASHTO T27-14 (Verified)