Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-04-30-8407621

Project Information

Project IdentifiersProject ID: 7446
DEA: 06442624
EFIS: 0600000972
DIST-CO-RTE-PM06-FRE,MAD-99-26.7/R31.6,R0.0/R1.6
Award Date10/10/2012
Closeout Date02/22/2017
Work DescriptionFREEWAY TO BE WIDENED AND REPLACE BRIDGE.
Location DescriptionFRESNO AND MADERA COUNTIES IN AND NEAR FRESNO FROM 0.2 MILES NORTH OF ASHLAN AVENUE OVERCROSSING TO 0.6 MILE NORTH OF AVENUE 7 OVERCROSSING
QA Service Level1 (Verified on 11/06/2012)

Sample Information

Sample Taken Date04/30/2013 Sample Unique Key8407621
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 testing04/16/2013
Sample typeAnnual Source Testing A brief description of the sample1x4
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byMike Last name of sampler or witnessed byHoldridge
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationC787042A 13CPCC-0186 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameCalaverras 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 or name of Pit)Merced River Rock
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
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 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-04-30-8407621-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory04/30/2013Thomas Stinnett
Yes
05/01/2013