Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2013-08-02-9602
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 668 DEA: 023E7604 EFIS: 0200020162 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-R50.9/R58.2 |
| Award Date | 12/22/2011 |
| Closeout Date | 01/30/2017 |
| Work Description | RECONSTRUCT ROADWAY WITH CONTINUOUSLY REINFORCED CONCRETE PAVEMENT. |
| Location Description | SISKIYOU COUNTY NEAR YREKA FROM 0.3 MILE SOUTH OF SHASTA RIVER BRIDGE TO 0.1 MILE NORTH OF KLAMATH RIVER ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/21/2011) |
Sample Information
| Sample Taken Date | 08/02/2013 | Sample Unique Key | 9602 |
|---|---|---|---|
| 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 | 09/04/2013 |
| Sample type | Department Acceptance | A brief description of the sample | 1/2 HMA |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Josh | Last name of sampler or witnessed by | Dorney |
| Title of sampler | Materials Tester | Telephone number of sampler | Not set |
| Laboratory sample identification | AG130307 | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Eagle Peak Rock and Paving | 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) | Eagle Peak |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Virgin Aggregate | The fabricator/manufacturer designation for the sample | 1/2 HMA |
| The plant number | Not set | A detailed description of where the material sample was collected | Sample pad |
| 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: 2013-08-02-9602-1 CTM 214-August 2010 (Verified)
DIME Test ID: 2013-08-02-9602-2 CTM 214-August 2010 (Verified)