Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2016-11-09-22

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209384
DEA: 04264094
EFIS: 0400000735
COOP: 042531
DIST-CO-RTE-PM04-,SON--
Award Date01/21/2016
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date11/09/2016 Sample Unique Key22
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 testing03/03/2017
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 byJeff Last name of sampler or witnessed byR
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17CPCC-0140 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCanyon Rock Quarry Transportation Laboratory (TL) NumberC918631
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)91-49-0004::CANYON ROCK CO., INC.
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 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
2016-11-09-22-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandPhillip MontesCT HQ - Sacramento Aggregate Testing Laboratory06/22/2017Phillip Montes
Yes
06/22/2017