Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-05-19-81
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 | 05/19/2023 | Sample Unique Key | 81 |
---|---|---|---|
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 | 05/19/2023 |
Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA Type A |
The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | John Paul | Last name of sampler or witnessed by | Maypa |
Title of sampler | QC Technician | Telephone number of sampler | 5302475468 |
Laboratory sample identification | Con_23_542 | Linked DIME Sample ID | 2023-05-18-49 |
The fabricator/manufacturer/facility name | Vulcan Vallejo | Transportation Laboratory (TL) Number | |
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) | 91-48-0002 |
---|---|---|---|
The fabricator's/manufacturer's product name for the sample | 3/4 HMA Type A | The fabricator/manufacturer designation for the sample | Drum |
The plant number | A detailed description of where the material sample was collected | cold feed | |
Where the material sample would have been placed if not sampled | Roadway | Primary Aggregate Nominal Size | 3/4 inch |
The concrete mix design number | Lot number | 1 | |
Sublot number | 20 | Aggregate Mix Number | 411101510LD |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2023-05-19-81-1 AASHTO T27-14 (Verified)