Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2018-04-12-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212497
DEA: 024E0204
EFIS: 0200020196
DIST-CO-RTE-PM02-SHA-299-77.8/79.7
Award Date02/01/2018
Closeout Date08/14/2019
Work DescriptionPULVERIZE AND RECONSTRUCT PAVEMENT, AND WIDEN WITH AB, HMA, & RHMA
Location DescriptionSHASTA COUNTY NEAR BURNEY FROM 0.2 MILE WEST OF SONOMA STREET TO 0.3 MILE WEST OF ROUTE 89
QA Service Level1 (Verified on 06/06/2017)

Sample Information

Sample Taken Date04/12/2018 Sample Unique Key8
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 testing05/09/2018
Sample typeAnnual Source Testing A brief description of the sampleCoarse and fine aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byTofael Last name of sampler or witnessed byAnwar
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification18-0083 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHat Creek - Shaw Pit Facility Transportation Laboratory (TL) NumberC853528
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)91-25-0008::SHAW PIT
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 Size3/4 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
2018-04-12-8-1AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Phillip Montes, CT HQ - Sacramento Aggregate Testing Laboratory06/08/2018Phillip Montes
No
Info
2018-04-12-8-2AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Phillip Montes, CT HQ - Sacramento Aggregate Testing Laboratory06/08/2018Phillip Montes
Yes
06/08/2018

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2018-04-12-8-1 AASHTO T104-99r16
DIME Test ID: 2018-04-12-8-2 AASHTO T104-99r16 (Verified)