Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-12-06-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212036
DEA: 044K2404
EFIS: 0417000284
DIST-CO-RTE-PM04-MRN,MRN-1-10.9, 10.8/10.9, 10.90, 6.6/10.9
Award Date01/31/2017
Closeout Date10/17/2022
Work DescriptionConstruct Solier Pile Wall
Location DescriptionNot set
QA Service Level1 (Verified on 03/17/2017)

Sample Information

Sample Taken Date12/06/2017 Sample Unique Key12
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 sampleCoarse PCC Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byGina Last name of sampler or witnessed byChoi
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification18-0052 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHanson Clayton Transportation Laboratory (TL) NumberC859799
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)91-07-0003::CLAYTON 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
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 Aggregate Mix NumberNot set
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-12-06-12-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfatePhillip Montes, CT HQ - Sacramento Aggregate Testing Laboratory04/27/2018Phillip Montes
Yes
04/27/2018

Sample File Attachments

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Test File Attachments


DIME Test ID: 2017-12-06-12-1 CTM 214-August 2010 (Verified)