Sample Record

Owner Lab

  • CT SC - 3674 - Pacifica 2

DIME Sample ID 2024-09-03-31

Project Information

Project IdentifiersProject ID: 994242
DEA: 042J7404
EFIS: 0415000010
DIST-CO-RTE-PM04-SM-101-0.9/23.4
Award Date02/08/2023
Closeout DateNot set
Work DescriptionREMOVE BRIDGES (PORTIONS), BRIDGE BARRIERS, CONCRETE BARRIERS, & HMA.
Location DescriptionSAN MATEO COUNTY AT VARIOUS LOCATIONS FROM UNIVERSITY AVENUE OVERCROSSING TO SIERRA POINT OFF RAMP OVERCROSSING
QA Service Level1 (Verified on 09/28/2022)

Sample Information

Sample Taken Date09/03/2024 Sample Unique Key31
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 testingNot set
Sample typeQuality Control A brief description of the samplesample concrete 57tS592
The quantity of what the sample constitutes3 From where was the sample collectedJob Site
First name of sampler or witnessed byRicardo Last name of sampler or witnessed byCosta
Title of samplerASR Telephone number of sampler9166129504
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGraniterock Redwood City Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier41-35 0140
Structure nameBorel Creek

Material Information

Material TypeConcrete The concrete mix design number57S590
The truck number from where the sample was collected2419 The batch plant ticket number from where the sample was collected129779
Concrete batch plantRedwood city The fabricator/manufacturer designation for the sampleGraniterock
A detailed description of where the material sample was collectedConcrete from wheelbarrow and samples taken on level ground in the field. Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

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