Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2013-05-13-13130870
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Project Information
| Project Identifiers | Project ID: 7881 DEA: 013986A4 EFIS: 0112000298 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-53- |
| Award Date | 07/23/2012 |
| Closeout Date | 01/30/2015 |
| Work Description | WIDEN ROADWAY WITH HMA OVER AB |
| Location Description | IN LAKE COUNTY IN AND NEAR CLEARLAKE FROM 0.1 MILE SOUTH OF 40TH AVENUE/LAKESHORE DRIVE TO ROUTE 20/53 JUNCTION |
| QA Service Level | 1 (Verified on 07/22/2013) |
Sample Information
| Sample Taken Date | 05/13/2013 | Sample Unique Key | 13130870 |
|---|---|---|---|
| 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 | 04/23/2013 |
| Sample type | Annual Source Testing | A brief description of the sample | 1x4 |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Aaron | Last name of sampler or witnessed by | Thomas |
| Title of sampler | TET | Telephone number of sampler | Not set |
| Laboratory sample identification | C592583A 13CPCC-0190 | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Knife River, Orland | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 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) | Point Lakeview Lava Clearlake |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2013-05-13-13130870-1 CTM 214-August 2010 (Verified)