Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2013-05-31-6578873
Project Information
| Project Identifiers | Project ID: 7728 DEA: 020E4404 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-97-2.5/2.9 |
| Award Date | 12/10/2012 |
| Closeout Date | 07/12/2013 |
| Work Description | WIDENING, PAVING, STRIPING |
| Location Description | SISKIYOU COUNTY NEAR WEED FROM 0.1 MILE SOUTH OF MAPLE AVENUE TO 0.1 MILE NORTH OF FIRST AVENUE |
| QA Service Level | 1 (Verified on 10/29/2012) |
Sample Information
| Sample Taken Date | 05/31/2013 | Sample Unique Key | 6578873 |
|---|---|---|---|
| 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 | 05/15/2013 |
| Sample type | Annual Source Testing | A brief description of the sample | 1x4 / fine HMA type A |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Nicole | Last name of sampler or witnessed by | Malory |
| Title of sampler | TE | Telephone number of sampler | Not set |
| Laboratory sample identification | 13ASPH-0205/C847778 | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Fawndale Rock Quarry / J.F. Shea | 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) | 91-45-0017 |
|---|---|---|---|
| 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 | Stockpiles |
| 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: 2013-05-31-6578873-1 CTM 214-August 2010 (Verified)
DIME Test ID: 2013-05-31-6578873-2 CTM 214-August 2010 (Verified)
