Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-05-15-18

Project Information

Project IdentifiersProject ID: 215396
DEA: 042K8404
EFIS: 0417000031
DIST-CO-RTE-PM04-SOL-29,80-0.0,0.8/1.6
Award Date03/26/2021
Closeout Date02/16/2024
Work DescriptionHMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location DescriptionSOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
QA Service Level1 (Verified on 01/25/2021)

Sample Information

Sample Taken Date05/15/2023 Sample Unique Key18
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 testing05/15/2023
Sample typeQuality Assurance A brief description of the sample1" X No 4
The quantity of what the sample constitutes1 Bag From where was the sample collectedManufacturer
First name of sampler or witnessed byPlant QC Last name of sampler or witnessed byPlant QC
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identificationCon_23_418 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCentral Concrete Martinez Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier23-0259
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Hanson-Pier 94 CT
The fabricator's/manufacturer's product name for the sampleCoarse Aggregate The fabricator/manufacturer designation for the sampleBatch
The plant number A detailed description of where the material sample was collectedbelt cut
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberD101C5RS Lot number
Sublot number Aggregate Mix NumberD101C5RS

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-15-18-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAugusto Rios, CT D04 - Concord Field Laboratory05/15/2023anthony ibarra
Yes
05/16/2023
2023-05-15-18-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Augusto Rios, CT D04 - Concord Field Laboratory05/15/2023anthony ibarra
Yes
05/16/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-15-18-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-05-15-18-2 CTM 227-December 2014 (Verified)