Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-02-23-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210618
DEA: 06342534
EFIS: 0600000382
COOP: 061616A2
DIST-CO-RTE-PM06-FRE-180-R74.1/R78.6
Award Date04/05/2017
Closeout Date07/06/2021
Work DescriptionCONSTRUCT SEGMENT 3 OF KINGS CANYON EXPRESSWAY
Location DescriptionFRESNO COUNTY ABOUT 8.4 MILES EAST OF FRESNO FROM 0.7 MILE WEST OF SMITH AVENUE TO 0.7 MILE EAST OF FRANKWOOD AVENUE
QA Service Level1 (Verified on 07/10/2017)

Sample Information

Sample Taken Date02/23/2017 Sample Unique Key12
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 testing03/10/2017
Sample typeAnnual Source Testing A brief description of the sampleFine PCC Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byShirvani
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17FPCC-0094 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameVulcan Friant Transportation Laboratory (TL) Numberc812809B
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-10-0024
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 Sizefine
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-02-23-12-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandBenjamin Lenz, CT HQ - Sacramento Aggregate Testing Laboratory04/26/2017Benjamin Lenz
Yes
05/05/2017

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2017-02-23-12-1 CTM 213-December 2012 (Verified)