Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2018-11-27-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213725
DEA: 040P6404
EFIS: 0417000499
DIST-CO-RTE-PM04-SCL-152-0.0/6.1
Award Date12/24/2018
Closeout Date12/26/2019
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HOT MIX ASPHALT.
Location DescriptionSANTA CLARA COUNTY NEAR GILROY AT VARIOUS LOCATIONS FROM SANTA CRUZ COUNTY LINE TO BODFISH CREEK BRIDGE
QA Service Level1 (Verified on 05/02/2019)

Sample Information

Sample Taken Date11/27/2018 Sample Unique Key14
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 testing02/19/2019
Sample typeAnnual Source Testing A brief description of the sample1 x #4 coarse aggregate
The quantity of what the sample constitutes2 bags From where was the sample collectedSource
First name of sampler or witnessed byFERNANDO Last name of sampler or witnessed byRogers
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification19-CPCC-0026 Linked DIME Sample ID
The fabricator/manufacturer/facility nameLos Banos TRP Transportation Laboratory (TL) NumberC811336
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)91-24-0009
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 Size1 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-11-27-14-1CTM 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