Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2016-12-21-11
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Project Information
| Project Identifiers | Project ID: 210652 DEA: 06360234 EFIS: 0612000241 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-99-35.2/R37.3 |
| Award Date | 10/15/2015 |
| Closeout Date | 08/24/2018 |
| Work Description | WIDEN HIGHWAY FROM 4-LANES TO 6-LANE. |
| Location Description | ON 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 Level | 1 (Verified on 07/21/2015) |
Sample Information
| Sample Taken Date | 12/21/2016 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 02/14/2017 |
| Sample type | Annual Source Testing | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 5 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Allen | Last name of sampler or witnessed by | Oliver |
| Title of sampler | TET | Telephone number of sampler | Unknown |
| Laboratory sample identification | 17CPCC-0013 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Deer Creek Porterville | Transportation Laboratory (TL) Number | C812804A |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-54-0021::DEER CREEK ASPHALT |
|---|---|---|---|
| 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 at plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | Unknown | 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: 2016-12-21-11-1 CTM 214-August 2010 (Verified)