Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2016-12-12-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209135
DEA: 04235844
EFIS: 0400000684
COOP: 042493
DIST-CO-RTE-PM04-SM-101-16.3/17.06
Award Date06/25/2014
Closeout Date12/17/2019
Work DescriptionRECONSTRUCT OVERCROSSING, RETAINING WALLS, GROUND IMPROVEMENT,
Location DescriptionBURLINGAME
QA Service Level1 (Verified on 10/03/2013)

Sample Information

Sample Taken Date12/12/2016 Sample Unique Key17
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 x 4 PCC Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byPlant Last name of sampler or witnessed byPersonnel
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17CPCC-0171 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameWilson Aromas Quarry Transportation Laboratory (TL) NumberC728072
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)91-35-0012::A.R. WILSON QUARRY
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 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-12-12-17-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBenjamin LenzCT HQ - Sacramento Aggregate Testing Laboratory07/17/2017Benjamin Lenz
Yes
07/17/2017