Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2024-04-30-55
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 | 04/30/2024 | Sample Unique Key | 55 |
|---|---|---|---|
| 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 | 05/01/2024 |
| Sample type | Independent Assurance | A brief description of the sample | PCC 1x4 and Sand |
| 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 | Technician | Telephone number of sampler | 5102077252 |
| Laboratory sample identification | Rich_24_040 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vanguard/Clayton Rock | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | HWY 80 Lane 1/ Willow RD |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-07-0003 |
|---|---|---|---|
| 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 @ Yard | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | HE4x4BM | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-04-30-55-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-04-30-55-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-04-30-55-3 CTM 226-July 2010 (Verified)
DIME Test ID: 2024-04-30-55-4 CTM 227-December 2014 (Verified)