Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2015-01-07-2
Project Information
| Project Identifiers | Project ID: 7566 DEA: 042640K4 EFIS: 0412000406 COOP: 0412458 |
|---|---|
| DIST-CO-RTE-PM | 04--- |
| Award Date | 11/02/2012 |
| Closeout Date | 06/03/2020 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/03/2020) |
Sample Information
| Sample Taken Date | 01/07/2015 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 01/07/2015 |
| Sample type | Annual Source Testing | A brief description of the sample | Blend Sand |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Other |
| First name of sampler or witnessed by | Richard | Last name of sampler or witnessed by | Duncan |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 15Fpcc-0021 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Syar Healdsburg | Transportation Laboratory (TL) Number | C917832 |
| 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) | 91-49-0062 and 91-49-004 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | 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: 2015-01-07-2-1 CTM 213-December 2012 (Verified)
