Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2024-03-05-45
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994803 DEA: 043J0704 EFIS: 0415000077 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-80-10.1/13.5 |
| Award Date | 03/10/2023 |
| Closeout Date | Not set |
| Work Description | Remove PCC and AC, place PCP and AC Resurfacing. |
| Location Description | Construction on State Highway in Contra Costa County in Hercules and Crockett from Route 80/4 separation to 0.1 mile west of Crockett Viaduct. |
| QA Service Level | 1 (Verified on 05/10/2023) |
Sample Information
| Sample Taken Date | 03/05/2024 | Sample Unique Key | 45 |
|---|---|---|---|
| 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 | 03/05/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1INCH x No.4 PCC |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | IGNACIO | Last name of sampler or witnessed by | ARECHIGA |
| Title of sampler | Lab Technician | Telephone number of sampler | 5102077252 |
| Laboratory sample identification | Rich_24_014 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vanguard Mobile San Pablo Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Barrier |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-48-0002 |
|---|---|---|---|
| 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 | Stockpile @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 590 MAC | Lot number | |
| Sublot number | Aggregate Mix Number | 590 MAC |
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. | |||