Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-09-20-43
Project Information
Project Identifiers | Project ID: 212252 DEA: 033F5604 EFIS: 0313000033 |
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DIST-CO-RTE-PM | 03-SUT,YUB-20-17.0/17.1,0.0/0.4 |
Award Date | 02/11/2021 |
Closeout Date | 01/25/2023 |
Work Description | INSTALL CAST-IN-STEEL SHELL CONCRETE PILE. |
Location Description | SUTTER AND YUBA COUNTIES IN YUBA CITY AND MARYSVILLE AT THE FEATHER RIVER BRIDGE AND OVERHEAD |
QA Service Level | 1 (Verified on 04/27/2018) |
Sample Information
Sample Taken Date | 09/20/2021 | Sample Unique Key | 43 |
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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 | 10/04/2021 |
Sample type | Per Request | A brief description of the sample | 1x4 coarse aggregate |
The quantity of what the sample constitutes | 1-5 gallon bucket | From where was the sample collected | Job Site |
First name of sampler or witnessed by | na | Last name of sampler or witnessed by | na |
Title of sampler | na | Telephone number of sampler | |
Laboratory sample identification | 21-PCCC-168 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Field | Transportation Laboratory (TL) Number | na |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | not provided |
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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 collected | field | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |