Sample Record

Owner Lab

  • CT D04 - Richmond Field Laboratory

DIME Sample ID 2023-11-14-77

Project Information

Project IdentifiersProject ID: 994321
DEA: 040K1604
EFIS: 0416000044
DIST-CO-RTE-PM04-ALA,CC-80-R7.6/8.0,0.0/13.5
Award Date02/08/2023
Closeout DateNot set
Work DescriptionCONSTRUCT RHMA, LIGHTING SYSTEM, AND CONCRETE BARRIER.
Location DescriptionALAMEDA AND CONTRA COSTA COUNTIES IN ALBANY AND CROCKETT FROM 0.4 MILE SOUTH OF ALAMEDA COUNTY LINE TO 0.2 MILE SOUTH OF POMONA STREET
QA Service Level1 (Verified on 10/14/2022)

Sample Information

Sample Taken Date11/14/2023 Sample Unique Key77
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 testing12/20/2023
Sample typeQuality Assurance A brief description of the sample1 x 4 INCH PCC and Sand
The quantity of what the sample constitutesSample 1 of the day From where was the sample collectedSource
First name of sampler or witnessed byNick Last name of sampler or witnessed byHall
Title of sampler Telephone number of sampler7072999133
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVanguard San Pablo Dam Plant 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)NONE
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 collectedSample Pick-Up @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number550MAC Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments