Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-05-12-63

Project Information

Project IdentifiersProject ID: 994120
DEA: 040J6314
EFIS: 0421000252
DIST-CO-RTE-PM04-SOL-12-21.2/22.6
Award Date09/16/2022
Closeout DateNot set
Work DescriptionROADWAY RESURFACING, INSTALL DRAINAGE SYSTEM, MIDWEST GUARDRAIL SYSTEM
Location DescriptionSOLANO COUNTY NEAR RIO VISTA FROM MCCLOSKY ROAD TO 0.1 MILE WEST OF AZEVEDO ROAD
QA Service Level1 (Verified on 09/13/2022)

Sample Information

Sample Taken Date05/12/2023 Sample Unique Key63
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 testing05/12/2023
Sample typeQuality Assurance A brief description of the sample1/2 HMA Type A
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byTrenton Last name of sampler or witnessed byCross
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identificationCon_23_438 Linked DIME Sample ID2023-05-12-59
The fabricator/manufacturer/facility nameTeichert Vernalis Transportation Laboratory (TL) NumberC727234
Inspector Lot Number from the Transportation Laboratory (TL) FormJMF Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-39-0041
The fabricator's/manufacturer's product name for the sample1/2 HMA Type A The fabricator/manufacturer designation for the sampleDrum Plant
The plant number A detailed description of where the material sample was collectedcoldfeed
Where the material sample would have been placed if not sampledJMF Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number30240442412V

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-12-63-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Augusto Rios, CT D04 - Concord Field Laboratory05/16/2023anthony ibarra
Yes
05/18/2023JMF
2023-05-12-63-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Augusto Rios, CT D04 - Concord Field Laboratory05/17/2023anthony ibarra
Yes
05/18/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-12-63-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-05-12-63-2 AASHTO T176-08 (Verified)