Sample Record

Owner Lab

  • Pavement Engineers

DIME Sample ID 2023-08-02-86

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date08/02/2023 Sample Unique Key86
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 testing08/02/2023
Sample typeQuality Control A brief description of the sampleaggregate
The quantity of what the sample constitutes20 CY From where was the sample collectedSupplier
First name of sampler or witnessed byRoland Last name of sampler or witnessed byOcansey
Title of samplerLab Technician Telephone number of sampler
Laboratory sample identificationL231743 Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Petaluma Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRW 1 top footings and will move to DS 23 footings

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Shamrock Materials Petaluma
The fabricator's/manufacturer's product name for the sampleSL4201CG The fabricator/manufacturer designation for the sample
The plant numberSL4201CG A detailed description of where the material sample was collectedplant
Where the material sample would have been placed if not sampledconcrete Primary Aggregate Nominal Size1 inch
The concrete mix design numberSL4201CG Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-08-02-86-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRoland Ocansey, Pavement Engineers08/03/2023Michelle Holub
Yes
08/22/2023
2023-08-02-86-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRoland Ocansey, Pavement Engineers08/02/2023Michelle Holub
Yes
08/22/2023
2023-08-02-86-3CTM 217-June 2011: Method of Test for Sand EquivalentRoland Ocansey, Pavement Engineers08/03/2023Michelle Holub
Yes
08/22/2023
2023-08-02-86-4CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Roland Ocansey, Pavement Engineers08/03/2023Michelle Holub
Yes
08/22/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-08-02-86-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-08-02-86-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-08-02-86-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-08-02-86-4 CTM 227-December 2014 (Verified)