Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2018-01-11-17
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Project Information
| Project Identifiers | Project ID: 212521 DEA: 043S9104 EFIS: 0400001044 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-7.7/7.8 |
| Award Date | 08/09/2017 |
| Closeout Date | 09/19/2018 |
| Work Description | CONSTRUCT SOLDIER PILE WALL |
| Location Description | MARIN COUNTY NEAR MUIR BEACH AT 0.2 MILE NORTH OF COLD STREAMFIRE ROAD. |
| QA Service Level | 1 (Verified on 07/17/2017) |
Sample Information
| Sample Taken Date | 01/11/2018 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 testing | 04/03/2018 |
| Sample type | Annual Source Testing | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Plant | Last name of sampler or witnessed by | Personnel |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 18-0049 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Cemex Clayton | Transportation Laboratory (TL) Number | C823177 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-07-0004::CLAYTON |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-01-11-17-1 CTM 214-August 2010 (Verified)