Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-05-13-13130870

Project Information

Project IdentifiersProject ID: 7881
DEA: 013986A4
EFIS: 0112000298
DIST-CO-RTE-PM01-LAK-53-
Award Date07/23/2012
Closeout Date01/30/2015
Work DescriptionWIDEN ROADWAY WITH HMA OVER AB
Location DescriptionIN LAKE COUNTY IN AND NEAR CLEARLAKE FROM 0.1 MILE SOUTH OF 40TH AVENUE/LAKESHORE DRIVE TO ROUTE 20/53 JUNCTION
QA Service Level1 (Verified on 07/22/2013)

Sample Information

Sample Taken Date05/13/2013 Sample Unique Key13130870
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 testing04/23/2013
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 byAaron Last name of sampler or witnessed byThomas
Title of samplerTET Telephone number of samplerNot set
Laboratory sample identificationC592583A 13CPCC-0190 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameKnife River, Orland 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, name of Pit or Job Site)Point Lakeview Lava Clearlake
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 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-05-13-13130870-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas Stinnett, CT HQ - Sacramento Aggregate Testing Laboratory05/08/2013Thomas Stinnett
Yes
05/13/2013

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2013-05-13-13130870-1 CTM 214-August 2010 (Verified)