Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-12-15-10
Project Information
| Project Identifiers | Project ID: 215231 DEA: 042A3324 EFIS: 0414000039 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84-10.8/18 |
| Award Date | 02/22/2021 |
| Closeout Date | 02/29/2024 |
| Work Description | NILES CANYON SAFETY PROJECT |
| Location Description | ALAMEDA CREEK BR OH (33-0034) BRIDGE RAIL REPLACEMENT, 2,060 LF; AND STONYBROOK CREEK BRIDGE (SLAB BRIDGE) |
| QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
| Sample Taken Date | 12/15/2021 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 03/22/2022 |
| 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 | D | Last name of sampler or witnessed by | Yeung |
| Title of sampler | TED | Telephone number of sampler | |
| Laboratory sample identification | 22-PCCF-0048 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Desilva Gates Sunol | Transportation Laboratory (TL) Number | C726253 |
| 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) | 91-01-0007 |
|---|---|---|---|
| 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 | Stock Piles | |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-15-10-1 CTM 213-December 2012 (Verified)
DIME Test ID: 2021-12-15-10-2 CTM 214-August 2010 (Verified)
