Sample Record

Owner Lab

  • CT D04 - Richmond Field Laboratory

DIME Sample ID 2024-06-17-103

Project Information

Project IdentifiersProject ID: 995255
DEA: 041J9604
EFIS: 0414000403
DIST-CO-RTE-PM04-MRN, -1-22.8/33.0,45.0/50.5
Award Date02/13/2024
Closeout DateNot set
Work DescriptionCOLD PLANE, RHMA, HMA, MGS, CURB RAMPS, SIDEWALKS, AND CULVERTS.
Location DescriptionMARIN COUNTY IN AND NEAR POINT REYES STATION FROM FIVE BROOKS TO 1.9 MILES NORTH OF CYPRESS ROAD AND IN AND NEAR TOMALES FROM 0.2 MILES SOUTH OF TOMALES TO 4.4 MILES NORTH OF TOMALES
QA Service Level1 (Verified on 10/18/2023)

Sample Information

Sample Taken Date06/17/2024 Sample Unique Key103
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 testing06/26/2024
Sample typeIndependent Assurance A brief description of the sampleClass 2 AB Aggregates
The quantity of what the sample constitutes1 Bag From where was the sample collectedManufacturer
First name of sampler or witnessed byJose Leon Last name of sampler or witnessed byAmparan
Title of sampler Telephone number of sampler(831) 706-0175
Laboratory sample identificationRich_24_078 Linked DIME Sample ID
The fabricator/manufacturer/facility nameStony point/ Roblar Quarry Transportation Laboratory (TL) NumberRich_24_078
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)91-49-0045
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 collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberVirgen Class 2 AB

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-06-17-103-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Jose Leon Amparan, CT D04 - Richmond Field Laboratory06/26/2024IGNACIO ARECHIGA
Yes
06/26/2024S.E Average 60

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-06-17-103-1 AASHTO T27-14 (Verified)