Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-01-24-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211668
DEA: 010B2604
EFIS: 0112000150
DIST-CO-RTE-PM01-DN-199-8.2
Award Date11/07/2016
Closeout Date01/07/2019
Work DescriptionCONSTRUCT BRIDGE AND WIDEN SHOULDERS
Location DescriptionDEL NORTE COUNTY NEAR HIOUCHI AT 1 MILE NORTH OF SOUTH FORK ROAD
QA Service Level1 (Verified on 09/27/2016)

Sample Information

Sample Taken Date01/24/2017 Sample Unique Key5
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 testing03/01/2017
Sample typeAnnual Source Testing A brief description of the samplePCC Aggregates
The quantity of what the sample constitutes5 bags From where was the sample collectedSource
First name of sampler or witnessed byna Last name of sampler or witnessed byna
Title of samplerowner Telephone number of samplerUnknown
Laboratory sample identification17CPCC-0092 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTidewater Starry pit Transportation Laboratory (TL) NumberC899569
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)91-08-0002
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 @ 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
2017-01-24-5-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBenjamin LenzCT HQ - Sacramento Aggregate Testing Laboratory05/09/2017Benjamin Lenz
Yes
05/17/2017