Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2016-11-21-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211342
DEA: 041J2504
DIST-CO-RTE-PM04-ALA-84-R18.0/R22.9
Award Date06/03/2016
Closeout Date08/21/2018
Work DescriptionHM1 - ASPHALT CONCRETE RESURFACING.
Location DescriptionALAMEDA COUNTY NEAR LIVERMORE FROM ROUTE 680/84 SEPARATION TO 0.1 MILE SOUTH OF RUBY HILL DRIVE
QA Service Level1 (Verified on 04/26/2016)

Sample Information

Sample Taken Date11/21/2016 Sample Unique Key3
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 testing03/24/2017
Sample typeAnnual Source Testing A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes2 bags From where was the sample collectedSource
First name of sampler or witnessed byB Last name of sampler or witnessed bySingh
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identification17CPCC-0145 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameGranite Vernalis Transportation Laboratory (TL) NumberC968785
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)91-39-0002::VERNALIS
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 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-11-21-3-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBenjamin Lenz, CT HQ - Sacramento Aggregate Testing Laboratory06/28/2017Benjamin Lenz
Yes
06/28/2017

Sample File Attachments

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Test File Attachments


DIME Test ID: 2016-11-21-3-1 CTM 214-August 2010 (Verified)