Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-12-12-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211162
DEA: 044G4504
EFIS: 0412000477
DIST-CO-RTE-PM04-SOL-780-7.07
Award Date02/01/2017
Closeout Date11/15/2019
Work DescriptionREPLACE BRIDGE TO PROVIDE STANDARD VERTICAL CLEARANCE
Location DescriptionLAUREL STREET OC
QA Service Level1 (Verified on 05/20/2016)

Sample Information

Sample Taken Date12/12/2017 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 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 byJolie Last name of sampler or witnessed bySchneider
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification18-0067 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Kerlinger Transportation Laboratory (TL) NumberC872973
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)91-39-0015::KERLINGER - RHODES
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
2017-12-12-9-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandPhillip Montes, CT HQ - Sacramento Aggregate Testing Laboratory04/26/2018Phillip Montes
Yes
04/26/2018

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2017-12-12-9-1 CTM 213-December 2012 (Verified)