DIME - Sample Record for DIME Sample ID 2021-12-17-44

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Sample Record

DIME Sample ID 2021-12-17-44

Project Information

Project Identifiers	Project ID: 214986 DEA: 041J9704 EFIS: 0414000404
DIST-CO-RTE-PM	04-SCL-17-2.8/13.94
Award Date	04/30/2021
Closeout Date	10/06/2025
Work Description	PAVING WITH RHMA, COLD PLANE AC, AND INSTALL CULVERT.
Location Description	SANTA CLARA COUNTY IN AND NEAR LOS GATOS, CAMPBELL AND SAN JOSE FROM HEBARD ROAD TO ROUTE 17/280 SEPARATION
QA Service Level	1 (Verified on 10/19/2020)

Owner Lab

CT HQ - Sacramento Aggregate Testing Laboratory

Sample Information

Sample Taken Date	12/17/2021	Sample Unique Key	44
Date that the sample was received by the laboratory/organization performing the testing	03/21/2022	Sample type	Annual Source Testing
A brief description of the sample	Fine Aggregate	The quantity of what the sample constitutes	1 bag
From where was the sample collected	Source	First name of sampler or witnessed by	F.
Last name of sampler or witnessed by	Vega	Title of sampler	Consultant
Telephone number of sampler		Laboratory sample identification	22-PCCF-0043
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Los Banos TRP
Transportation Laboratory (TL) Number	C570871	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)	91-24-0009
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	Los Banos TRP
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
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	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2021-12-17-44-1	CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand	Ryan Kester, CT HQ - Sacramento Aggregate Testing Laboratory	04/15/2022	05/02/2022	Yes	05/02/2022		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2021-12-17-44-1 CTM 213-December 2012 (Verified)