Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-09-20-43

Project Information

Project IdentifiersProject ID: 212252
DEA: 033F5604
EFIS: 0313000033
DIST-CO-RTE-PM03-SUT,YUB-20-17.0/17.1,0.0/0.4
Award Date02/11/2021
Closeout Date01/25/2023
Work DescriptionINSTALL CAST-IN-STEEL SHELL CONCRETE PILE.
Location DescriptionSUTTER AND YUBA COUNTIES IN YUBA CITY AND MARYSVILLE AT THE FEATHER RIVER BRIDGE AND OVERHEAD
QA Service Level1 (Verified on 04/27/2018)

Sample Information

Sample Taken Date09/20/2021 Sample Unique Key43
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 testing10/04/2021
Sample typePer Request A brief description of the sample1x4 coarse aggregate
The quantity of what the sample constitutes1-5 gallon bucket From where was the sample collectedJob Site
First name of sampler or witnessed byna Last name of sampler or witnessed byna
Title of samplerna Telephone number of sampler
Laboratory sample identification21-PCCC-168 Linked DIME Sample ID
The fabricator/manufacturer/facility nameField Transportation Laboratory (TL) Numberna
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)not provided
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedfield
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

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