Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2018-11-13-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213249
DEA: 043K6704
EFIS: 0417000192
DIST-CO-RTE-PM04-SOL-505-R0.0/R10.6
Award Date05/17/2018
Closeout Date06/06/2019
Work DescriptionCOLD PLANE AC PAVEMENT AND OVERLAY WITH RHMA-G (BWC).
Location DescriptionSOLANO COUNTY IN VACAVILLE FROM 505/80 SEPARATION TO YOLO COUNTY LINE
QA Service Level1 (Verified on 04/02/2018)

Sample Information

Sample Taken Date11/13/2018 Sample Unique Key10
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 testing01/23/2019
Sample typeQuality Control 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 byHamed Last name of sampler or witnessed byRastegarpour
Title of sampler Telephone number of sampler
Laboratory sample identification19-0003 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Capay Transportation Laboratory (TL) NumberC859581
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)91-57-0014::CAPAY
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 @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-11-13-10-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandRyan Kester, CT HQ - Sacramento Aggregate Testing Laboratory01/28/2019Ryan Kester
Yes
02/12/2019

Sample File Attachments

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Test File Attachments


DIME Test ID: 2018-11-13-10-1 CTM 213-December 2012 (Verified)