Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2016-12-12-16

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210369
DEA: 042J2004
DIST-CO-RTE-PM04-SCL-152-30.4/35.2
Award Date05/29/2015
Closeout Date12/22/2017
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HOT MIX ASPHALT.
Location DescriptionSANTA CLARA COUNTY 20 MILES EAST OF GILROY FROM PACHECO CREEK TO SANTA CLARA / MERCED COUNTY LINE
QA Service Level1 (Verified on 09/17/2015)

Sample Information

Sample Taken Date12/12/2016 Sample Unique Key16
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 sample1/2 PCC Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byDennis Last name of sampler or witnessed byYeung
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17CPCC-0162 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Pleasanton Transportation Laboratory (TL) NumberC934738
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)NA
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 Size1/2 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
2016-12-12-16-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBenjamin Lenz, CT HQ - Sacramento Aggregate Testing Laboratory07/17/2017Benjamin Lenz
Yes
07/17/2017

Sample File Attachments

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Test File Attachments


DIME Test ID: 2016-12-12-16-1 CTM 214-August 2010 (Verified)