Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-04-09-13470861

Project Information

Project IdentifiersProject ID: 3409
DEA: 063568U4
EFIS: 0600000390
COOP: 061488
DIST-CO-RTE-PM06-KIN,TUL-198-R21.5/R28.3,0.0/R3.4
Award Date09/01/2009
Closeout Date03/05/2013
Work DescriptionCONVERT 2 LANE CONVENTIONAL HIGHWAY TO 4 LANE DIVIDED EXPRESSWAY
Location DescriptionNot set
QA Service Level1 (Verified on 05/31/2012)

Sample Information

Sample Taken Date04/09/2013 Sample Unique Key13470861
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 testing03/22/2013
Sample typeAnnual Source Testing A brief description of the sample3/8/2014
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 byWerzinski
Title of samplerTET Telephone number of samplerNot set
Laboratory sample identificationC732256 / 13CPCC-0161 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameJaxon Baker/Deer Creek 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)91-54-0021::DEER CREEK ASPHALT
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 @ plant
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
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
2013-04-09-13470861-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas Stinnett, CT HQ - Sacramento Aggregate Testing Laboratory04/09/2013Thomas Stinnett
Yes
04/11/2013

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2013-04-09-13470861-1 CTM 214-August 2010 (Verified)