Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2018-11-28-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213002
DEA: 042640N4
EFIS: 0412000649
DIST-CO-RTE-PM04-MRN,SON-101-MRN27.0/27.6SON0.0/4.5
Award Date04/09/2018
Closeout Date03/12/2021
Work DescriptionCONSTRUCT HOV LANES
Location DescriptionMARIN AND SONOMA COUNTIES IN AND NEAR PETALUMA FROM 0.6 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE TO 0.3 MILE SOUTH OF EAST WASHINGTON STREET OVER CROSSING
QA Service Level1 (Verified on 04/13/2018)

Sample Information

Sample Taken Date11/28/2018 Sample Unique Key17
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 testing02/06/2019
Sample typeAnnual Source Testing A brief description of the sampleFine
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byCJ Last name of sampler or witnessed bySousa
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification19-FPCC-0019 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHealdsburg Quarry Transportation Laboratory (TL) NumberC805889
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)91-49-0062::HEALDSBURG TERRACE PHASE VI
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot number0
Sublot number0 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-11-28-17-1THIS TEST HAS BEEN SUPERSEDED.
CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Bang NguyenCT HQ - Sacramento Aggregate Testing Laboratory03/15/2019Bang Nguyen
Yes
03/22/2019THIS TEST HAS BEEN SUPERSEDED.
2018-11-28-17-2THIS TEST HAS BEEN SUPERSEDED.
CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Bang NguyenCT HQ - Sacramento Aggregate Testing Laboratory03/15/2019Bang Nguyen
Yes
03/22/2019THIS TEST HAS BEEN SUPERSEDED.
2018-11-28-17-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandBang NguyenCT HQ - Sacramento Aggregate Testing Laboratory03/15/2019Bang Nguyen
Yes
03/15/2019
2018-11-28-17-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBang NguyenCT HQ - Sacramento Aggregate Testing Laboratory03/15/2019Bang Nguyen
Yes
03/15/2019