Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-05-08-11120256

Project Information

Project IdentifiersProject ID: 7412
DEA: 05315804
EFIS: 0500000495
COOP: 050268
DIST-CO-RTE-PM05-MON,SBT-101-100.0/101.3,0.0/1.6
Award Date09/27/2012
Closeout Date06/16/2016
Work DescriptionCONSTRUCT INTERCHANGE, RETAINING WALLS, CONC BARRIER, WIDEN SHOULDERS.
Location DescriptionMONTEREY AND SAN BENITO COUNTIES NEAR PRUNDALE AT VARIOUS LOCATIONS FROM 0.4 MILE SOUTH OF DUNBARTO 1N ROAD (NORTH) TO CANNON ROAD
QA Service Level1 (Verified on 10/29/2012)

Sample Information

Sample Taken Date05/08/2013 Sample Unique Key11120256
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 testing04/25/2013
Sample typeAnnual Source Testing A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byAlan Last name of sampler or witnessed byAlvarez
Title of samplerTET Telephone number of samplerNot set
Laboratory sample identificationC867732 - AG130193 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameA.R. Wilson - Aromas 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)SMARA No. 91-35-0012
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 collectedDon Chapin - Salinas
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
2013-05-08-11120256-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateEd PerezCT HQ - Sacramento Aggregate Testing Laboratory05/08/2013Ed Perez
Yes
05/08/2013