Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-11-22-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212253
DEA: 010H0304
EFIS: 0117000087
DIST-CO-RTE-PM01-HUM-96-20.0/24.0, 0.83
Award Date02/22/2017
Closeout Date01/08/2019
Work DescriptionREPAIR SLIPOUT
Location DescriptionIN HUMBOLDT COUNTY NEAR WEITCHPEC FROM 3.0 MILES OF KLAMATH RIVER BRIDGE #04-0144 TO 0.6 MILE EAST OF WEITCHPEC ROAD
QA Service Level1 (Verified on 04/24/2017)

Sample Information

Sample Taken Date11/22/2017 Sample Unique Key9
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 testing12/05/2017
Sample typeAnnual Source Testing A brief description of the sample3/8 x 8 PCC Agg
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byKat Last name of sampler or witnessed byEagan
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17CPCC-0366 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHoopa Valley Ready Mix Transportation Laboratory (TL) NumberC971931B
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)Hoopa Valley Aggregate -- no SMARA -- tribal land
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
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 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
2017-11-22-9-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfatePhillip Montes, CT HQ - Sacramento Aggregate Testing Laboratory12/27/2017Phillip Montes
Yes
01/08/2018

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2017-11-22-9-1 CTM 214-August 2010 (Verified)