Sample Record
Owner Lab
- Golden State Bridge, Incorporated
DIME Sample ID 2023-05-19-96
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993184 DEA: 040A7724 EFIS: 0420000288 COOP: 042763 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-80-6.4/6.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Excavation, HMA, structural concrete, minor concrete and drainage. |
| Location Description | IN BERKELEY AND ALBANY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.3 MILE SOUTH OF EL CERRITO SEPARATION AND OVERHEAD |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 05/19/2023 | Sample Unique Key | 96 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 07/19/2023 |
| Sample type | Quality Control | A brief description of the sample | 3/8 Pea Gravel |
| The quantity of what the sample constitutes | 3 bags 25Ibs ea | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Kwangkyum | Last name of sampler or witnessed by | Lee |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Concrete | 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) | 91-01-0010 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Staircase CID pile at bent 1 on west side | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | DDJ118E3 | 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: 2023-05-19-96-1 CTM 202-November 2011 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 5.19.23 - PCDC - Aggregate Report _ Staircase CIDH pile at bent 1 (West side) | 07/10/2023 | 2023-05-19-96-1 | Info |