Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-03-08-11177102

Project Information

Project IdentifiersProject ID: 7492
DEA: 06325504
EFIS: 0600000367
DIST-CO-RTE-PM06-KIN-198-R8.9/R10.1
Award Date10/24/2012
Closeout Date07/30/2018
Work DescriptionCONSTRUCT INTERCHANGE
Location DescriptionKINGS COUNTY IN AND NEAR LEMOORE FROM 0.5 MILE WEST TO 0.7 MILE EAST OF 19TH AVENUE
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date03/08/2013 Sample Unique Key11177102
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 testing02/22/2013
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 byOwen Last name of sampler or witnessed byWeszinski
Title of samplerTET Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility namePorterville Rock and Recycle Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-54-0022
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile @ Yard
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Sizefine
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-03-08-11177102-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandThomas Stinnett, CT HQ - Sacramento Aggregate Testing Laboratory03/08/2013Thomas Stinnett
Yes
03/08/2013

Sample File Attachments

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Test File Attachments


DIME Test ID: 2013-03-08-11177102-1 CTM 213-December 2012 (Verified)