Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2015-11-18-7
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Project Information
| Project Identifiers | Project ID: 210215 DEA: 041SS524 EFIS: 0412000543 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-280-R2.6 |
| Award Date | 04/29/2015 |
| Closeout Date | 08/22/2018 |
| Work Description | RECONSTRUCT EMBANKMENT AND ROADWAY. |
| Location Description | SANTA CLARA COUNTY IN SAN JOSE AT MINOR AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 03/05/2015) |
Sample Information
| Sample Taken Date | 11/18/2015 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 01/21/2016 |
| Sample type | Annual Source Testing | A brief description of the sample | Fine PCC Aggregate |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Cesar | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Consultant | Telephone number of sampler | Unknown |
| Laboratory sample identification | 16FPCC-0031 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Cemex Eliot | Transportation Laboratory (TL) Number | C931554 |
| 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) | 91-01-0009 |
|---|---|---|---|
| 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: 2015-11-18-7-1 CTM 213-December 2012 (Verified)