Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2018-12-12-7

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 Date12/12/2018 Sample Unique Key7
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 testing01/29/2019
Sample typeAnnual Source Testing A brief description of the sample3/8 pea gravel
The quantity of what the sample constitutes2 bags From where was the sample collectedSource
First name of sampler or witnessed byplant Last name of sampler or witnessed byplant
Title of samplerQC lab tech Telephone number of sampler
Laboratory sample identification19-0005 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Woodland Transportation Laboratory (TL) NumberC859590
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)91-57-0002::WOODLAND PLANT
The fabricator's/manufacturer's product name for the sampleTeichert Woodland plant stockpile The fabricator/manufacturer designation for the sampleUnknown
The plant numberTeichert Woodland A detailed description of where the material sample was collectedstockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot number0
Sublot number0 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-12-12-7-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBang Nguyen, CT HQ - Sacramento Aggregate Testing Laboratory03/01/2019Bang Nguyen
Yes
03/01/2019

Sample File Attachments

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Test File Attachments


DIME Test ID: 2018-12-12-7-1 CTM 214-August 2010 (Verified)