Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2016-12-12-12
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Project Information
| Project Identifiers | Project ID: 210369 DEA: 042J2004 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-152-30.4/35.2 |
| Award Date | 05/29/2015 |
| Closeout Date | 12/22/2017 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HOT MIX ASPHALT. |
| Location Description | SANTA CLARA COUNTY 20 MILES EAST OF GILROY FROM PACHECO CREEK TO SANTA CLARA / MERCED COUNTY LINE |
| QA Service Level | 1 (Verified on 09/17/2015) |
Sample Information
| Sample Taken Date | 12/12/2016 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 03/24/2017 |
| Sample type | Annual Source Testing | A brief description of the sample | Fine PCC Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Dennis | Last name of sampler or witnessed by | Yeung |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 17CPCC-0163 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Cemex Pleasanton | Transportation Laboratory (TL) Number | C934739 |
| 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) | NA |
|---|---|---|---|
| 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 @ Plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| 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: 2016-12-12-12-1 CTM 213-December 2012 (Verified)