Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-05-19-81

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 Date05/19/2023 Sample Unique Key81
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 testing05/19/2023
Sample typeQuality Assurance A brief description of the sample3/4 HMA Type A
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byJohn Paul Last name of sampler or witnessed byMaypa
Title of samplerQC Technician Telephone number of sampler5302475468
Laboratory sample identificationCon_23_542 Linked DIME Sample ID2023-05-18-49
The fabricator/manufacturer/facility nameVulcan Vallejo Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-48-0002
The fabricator's/manufacturer's product name for the sample3/4 HMA Type A The fabricator/manufacturer designation for the sampleDrum
The plant number A detailed description of where the material sample was collectedcold feed
Where the material sample would have been placed if not sampledRoadway Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number20 Aggregate Mix Number411101510LD

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-19-81-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Augusto Rios, CT D04 - Concord Field Laboratory05/30/2023IGNACIO ARECHIGA
Yes
06/19/2023S.E = 63

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-19-81-1 AASHTO T27-14 (Verified)