Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-05-01-13180572

Project Information

Project IdentifiersProject ID: 3395
DEA: 06324504
EFIS: 0600000366
DIST-CO-RTE-PM06-TUL,FRE-99-41.3/R53.9,R0.0/R1.2
Award Date01/04/2011
Closeout Date02/16/2021
Work DescriptionWIDEN 4 LANES TO 6 LANES.
Location DescriptionTULARE AND FRESNO COUNTIES IN AND NEAR KINGSBURG FROM 0.2 MILE NORTH OF NORTH GOSHEN OVERHEAD TO 0.2 MILE NORTH OF ROUTE 99/201 CONEJO AVENUE SEPARATION
QA Service Level1 (Verified on 04/11/2012)

Sample Information

Sample Taken Date05/01/2013 Sample Unique Key13180572
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 sampleSand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byZamora
Title of samplerTE Telephone number of samplerNot set
Laboratory sample identificationC787040C 13FPCC-0182 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan 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)Sanger
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
2013-05-01-13180572-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory05/01/2013Thomas Stinnett
Yes
05/01/2013