Sample Record
Owner Lab
- CT D04 - Hayward Field Laboratory
DIME Sample ID 2023-09-11-104
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Project Information
| Project Identifiers | Project ID: 994645 DEA: 041W8604 EFIS: 0421000102 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-35,280-L22.0/31.5,R19.0/R19.3 |
| Award Date | 05/24/2023 |
| Closeout Date | Not set |
| Work Description | COLD PLANE ASPHALT CONCRETE PAVEMENT AND PLACE HOT MIX ASPHALT. |
| Location Description | SAN MATEO COUNTY FROM 0.5 MILE NORTH OF LARKSPUR DRIVE UNDERCROSSING IN SAN BRUNO TO CITY AND COUNTY OF SAN FRANCISCO COUNTY LINE IN DALY CITY |
| QA Service Level | 1 (Verified on 05/09/2023) |
Sample Information
| Sample Taken Date | 09/11/2023 | Sample Unique Key | 104 |
|---|---|---|---|
| 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 | 09/13/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA + 25% RAP |
| The quantity of what the sample constitutes | 500 Tons | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Gordon | Last name of sampler or witnessed by | Pham |
| Title of sampler | Plant QC Tech | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite Construction - Santa Clara | 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) | 91-39-0002 |
|---|---|---|---|
| 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 | Plant Sampler | |
| 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 | 1 | |
| Sublot number | 3 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-09-11-104-1 AASHTO T27-14 (Verified)