Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-01-18-15

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 Date01/18/2017 Sample Unique Key15
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 sampleFine PCC Aggregate
The quantity of what the sample constitutes4 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 identification17FPCC-0017 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namePorterville Rock Transportation Laboratory (TL) NumberC812803C
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)91-54-0022
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
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
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
2017-01-18-15-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandBenjamin LenzCT HQ - Sacramento Aggregate Testing Laboratory04/28/2017Benjamin Lenz
Yes
05/05/2017

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2017-01-18-15-1 CTM 213-December 2012 (Verified)