Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-12-19-26

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209384
DEA: 04264094
EFIS: 0400000735
COOP: 042531
DIST-CO-RTE-PM04-,SON--
Award Date01/21/2016
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date12/19/2017 Sample Unique Key26
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 testing04/03/2018
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byJoy Last name of sampler or witnessed bySharma
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification18-0064 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Madison Transportation Laboratory (TL) NumberC859576
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)91-57-0008::SOLANO CONCRETE OFF-CHANNEL
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 collectedPlant
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 HMA Design ID
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-12-19-26-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandPhillip MontesCT HQ - Sacramento Aggregate Testing Laboratory04/25/2018Phillip Montes
Yes
04/25/2018