Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-12-17-36
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Project Information
| Project Identifiers | Project ID: 215255 DEA: 040A7714 EFIS: 0420000287 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-80-6.4-6.6 |
| Award Date | 05/03/2021 |
| Closeout Date | 12/01/2023 |
| Work Description | CONSTRUCT PEDESTRIAN OVERCROSSING BRIDGE AND RETAINING WALLS. GILMAN INTERCHANGE IMPROVEMENTS |
| Location Description | ALAMEDA COUNTY IN BERKELEY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.1 MILE SOUTH OF GILMAN STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/07/2020) |
Sample Information
| Sample Taken Date | 12/17/2021 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 01/21/2022 |
| Sample type | Annual Source Testing | A brief description of the sample | 1/2x4 coarse aggregate |
| The quantity of what the sample constitutes | 3-bags individual size | From where was the sample collected | Source |
| First name of sampler or witnessed by | Pescador | Last name of sampler or witnessed by | Julio |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | 22-PCCC-0010 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hanson Clayton | Transportation Laboratory (TL) Number | C873348 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-07-0003 |
|---|---|---|---|
| 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 | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | 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: 2021-12-17-36-1 CTM 214-August 2010 (Verified)