Sample Record
Owner Lab
- CT SC - 3672 - Richmond
DIME Sample ID 2024-01-17-13
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214590 DEA: 043G4744 EFIS: 0412000074 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,MRN-580-6.9/7.8,0.0/2.5 |
| Award Date | 01/14/2021 |
| Closeout Date | Not set |
| Work Description | CLEAN AND PAINT STRUCTURAL STEEL BRIDGE. |
| Location Description | CONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET |
| QA Service Level | 1 (Verified on 02/18/2020) |
Sample Information
| Sample Taken Date | 01/17/2024 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 01/18/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" Hallwood Coarse |
| The quantity of what the sample constitutes | 5 lb | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Hinds |
| Title of sampler | ASR | Telephone number of sampler | 9164582078 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Materials Hallwood | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 28-0100 | |
| Structure name | Richmond San Rafael Bridge |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-58-0006 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Hallwood 1/2” | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Contractors yard stockpile | |
| Where the material sample would have been placed if not sampled | Joint header concrete | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | 21005-12 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||