Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2018-01-08-10
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Project Information
| Project Identifiers | Project ID: 212062 DEA: 040K9504 EFIS: 0416000173 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-17-2.8/7.5 |
| Award Date | 04/04/2017 |
| Closeout Date | 08/22/2018 |
| Work Description | HM1 - REPLACE ASPHALT CONCRETE SURFACING. |
| Location Description | SANTA CLARA COUNTY IN SANTA CLARA AND LOS GATOS FROM 0.1 MILE NORTH OF HEBARD WAY TO 0.16 MILE SOUTH OF BLOSSOM HILL ROAD |
| QA Service Level | 1 (Verified on 04/20/2017) |
Sample Information
| Sample Taken Date | 01/08/2018 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 03/29/2018 |
| Sample type | Annual Source Testing | A brief description of the sample | Sand |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Fernando | Last name of sampler or witnessed by | Vega |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 18-0038 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Hanson Aggregate Sunol | Transportation Laboratory (TL) Number | C811330 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-01-0011::SUNOL SMP 32 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-01-08-10-1 CTM 214-August 2010 (Verified)
DIME Test ID: 2018-01-08-10-2 CTM 213-December 2012 (Verified)