Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2016-12-21-11

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210652
DEA: 06360234
EFIS: 0612000241
DIST-CO-RTE-PM06-TUL-99-35.2/R37.3
Award Date10/15/2015
Closeout Date08/24/2018
Work DescriptionWIDEN HIGHWAY FROM 4-LANES TO 6-LANE.
Location DescriptionON ROUTE 99 IN TULARE COUNTY NEAR VISALIA FROM 1.2 MILE SOUTH OF AVENUE 280 OC (BR NO.46-195) TO 0.9MILE SOUTH OF WEST VISALIA OH (BR NO.46-226)
QA Service Level1 (Verified on 07/21/2015)

Sample Information

Sample Taken Date12/21/2016 Sample Unique Key11
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 testing02/14/2017
Sample typeAnnual Source Testing A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes5 bags From where was the sample collectedSource
First name of sampler or witnessed byAllen Last name of sampler or witnessed byOliver
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identification17CPCC-0013 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameDeer Creek Porterville Transportation Laboratory (TL) NumberC812804A
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-54-0021::DEER CREEK ASPHALT
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile at plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-12-21-11-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBenjamin LenzCT HQ - Sacramento Aggregate Testing Laboratory03/29/2017Benjamin Lenz
Yes
05/02/2017