Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-12-21-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 2078
DEA: 04264904
EFIS: 0400000741
DIST-CO-RTE-PM04-SCL-17-0.0/2.8
Award Date03/30/2011
Closeout Date08/21/2018
Work DescriptionDRAINAGE SYSTEM TO BE REPLACED AND IMPROVED.
Location DescriptionSANTA CLARA COUNTY ON ROUTE 17 FROM 0.1 MILE SOUTH OF SUMMIT ROAD SEPARATION TO 2.8 MILES NORTH OF SUMMIT ROAD
QA Service Level1 (Verified on 04/26/2012)

Sample Information

Sample Taken Date12/21/2017 Sample Unique Key6
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 sample1x4 Aggregates
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 identification18-0062 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Madison Transportation Laboratory (TL) NumberC859577
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)91-57-0008::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 collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 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
2017-12-21-6-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfatePhillip Montes, CT HQ - Sacramento Aggregate Testing Laboratory06/08/2018Phillip Montes
Yes
06/08/2018

Sample File Attachments

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Test File Attachments


DIME Test ID: 2017-12-21-6-1 CTM 214-August 2010 (Verified)