Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2015-04-16-10
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 209905 DEA: 024G00U4 EFIS: 0214000120 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-97-2.1/2.5 |
| Award Date | 11/17/2014 |
| Closeout Date | 02/23/2016 |
| Work Description | HOT MIX ASPHALT, AGGREGATE BASE, ROADWAY EXCAVATION |
| Location Description | SISKIYOU COUNTY NEAR WEED FROM ANGEL VALLEY ROAD TO MAPLE AVENUE |
| QA Service Level | 1 (Verified on 12/05/2014) |
Sample Information
| Sample Taken Date | 04/16/2015 | 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 | 04/16/2015 |
| Sample type | Verification | A brief description of the sample | 3/4 |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Nicole | Last name of sampler or witnessed by | Mallory |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 15CPCC-0213 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Shasta Ranch Aggregates | Transportation Laboratory (TL) Number | C847784A |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | 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) | 91-45-0057 |
|---|---|---|---|
| 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: 2015-04-16-10-1 CTM 214-August 2010 (Verified)