Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-05-11-72
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215396 DEA: 042K8404 EFIS: 0417000031 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-29,80-0.0,0.8/1.6 |
| Award Date | 03/26/2021 |
| Closeout Date | 02/16/2024 |
| Work Description | HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR. |
| Location Description | SOLANO 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 Level | 1 (Verified on 01/25/2021) |
Sample Information
| Sample Taken Date | 05/11/2023 | Sample Unique Key | 72 |
|---|---|---|---|
| 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 | 05/12/2023 |
| Sample type | Quality Assurance | A brief description of the sample | ASB Class 4 |
| The quantity of what the sample constitutes | 4 bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Noel | Last name of sampler or witnessed by | Aquino |
| Title of sampler | Resident Engineer | Telephone number of sampler | 7075804429 |
| Laboratory sample identification | Con_23_446 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | O C Jones and Sons Inc. | Transportation Laboratory (TL) Number | C744003 |
| 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) | 00-00-0004 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | ASB Class 4 | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | stockpile @jobsite | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 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: 2023-05-11-72-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-05-11-72-2 CTM 217-June 2011 (Verified)