Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2018-01-10-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212062
DEA: 040K9504
EFIS: 0416000173
DIST-CO-RTE-PM04-SCL-17-2.8/7.5
Award Date04/04/2017
Closeout Date08/22/2018
Work DescriptionHM1 - REPLACE ASPHALT CONCRETE SURFACING.
Location DescriptionSANTA CLARA COUNTY IN SANTA CLARA AND LOS GATOS FROM 0.1 MILE NORTH OF HEBARD WAY TO 0.16 MILE SOUTH OF BLOSSOM HILL ROAD
QA Service Level1 (Verified on 04/20/2017)

Sample Information

Sample Taken Date01/10/2018 Sample Unique Key14
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 testing03/29/2018
Sample typeAnnual Source Testing A brief description of the sampleFine PCC Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byFernando Last name of sampler or witnessed byVega
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification18-0041 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Pleasanton Transportation Laboratory (TL) NumberC811328
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)91-01-0009::ELIOT
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 Sizefine
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-01-10-14-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandPhillip Montes, CT HQ - Sacramento Aggregate Testing Laboratory04/05/2018Phillip Montes
Yes
04/12/2018

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2018-01-10-14-1 CTM 213-December 2012 (Verified)