Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2018-12-26-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212618
DEA: 044G0564
EFIS: 0417000154
DIST-CO-RTE-PM04-ALA-680-M2.4/M12.4
Award Date11/16/2017
Closeout DateNot set
Work DescriptionROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location DescriptionFREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
QA Service Level1 (Verified on 10/16/2017)

Sample Information

Sample Taken Date12/26/2018 Sample Unique Key3
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 testing02/25/2019
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed bySatinder Last name of sampler or witnessed byGrewal
Title of sampler Telephone number of sampler
Laboratory sample identification19-0048 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Vernalis Transportation Laboratory (TL) Numberc726622
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)91-39-0002::VERNALIS
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 @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
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
2018-12-26-3-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandJay HortonCT HQ - Sacramento Aggregate Testing Laboratory03/21/2019Jay Horton
Yes
03/21/2019