Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-05-01-13286955

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 Date05/01/2013 Sample Unique Key13286955
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 identificationC787042B 13FPCC-0187 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
2013-05-01-13286955-1CTM 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