Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2022-01-31-55

Project Information

Project IdentifiersProject ID: 215486
DEA: 040A0204
EFIS: 0400000129
DIST-CO-RTE-PM04-SON-1-15-15.7
Award DateNot set
Closeout DateNot set
Work DescriptionConstruct roadway and bridge with structural concrete and CIDH piling
Location DescriptionDistrict-County-Route-Post Mile: 04-Son-1-R15.0/R15.7
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date01/31/2022 Sample Unique Key55
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 testing03/22/2022
Sample typeQuality Assurance A brief description of the sampleCoarse Aggregate
The quantity of what the sample constitutes4 bags From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byRhodes
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification22-PCCC-0055 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCanyon Rock Quarry Transportation Laboratory (TL) NumberC100502
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-49-0004
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 collectedStock Pile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-01-31-55-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRyan Kester/ Jay Horton, CT HQ - Sacramento Aggregate Testing Laboratory05/02/2022Bang Nguyen
Yes
05/02/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-01-31-55-1 CTM 214-August 2010 (Verified)