Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2013-05-02-3096
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 7974 DEA: 024E9504 EFIS: 0212120112 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-R4.3/R7.4 |
| Award Date | 01/24/2013 |
| Closeout Date | 01/30/2015 |
| Work Description | THIN BLANKET OVERLAY |
| Location Description | SHASTA COUNTY AT AND NEAR PALO CEDRO FROM STILLWATER CREEK BRIDGE TO COW CREEK BRIDGE |
| QA Service Level | 1 (Verified on 12/10/2012) |
Sample Information
| Sample Taken Date | 05/02/2013 | Sample Unique Key | 3096 |
|---|---|---|---|
| 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 testing | 05/09/2013 |
| Sample type | Per Request | A brief description of the sample | three quarter inch HMA Type A |
| The quantity of what the sample constitutes | 1 box | From where was the sample collected | Source |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Ortiz |
| Title of sampler | TET | Telephone number of sampler | Not set |
| Laboratory sample identification | C847777 - AG13ASPH-0202 | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Tullis Inc., Shasta Ranch Agg., Anderson, Ca | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0057 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Combined Virgin Aggregate | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | stockpiles |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2013-05-02-3096-1 CTM 214-August 2010 (Verified)
DIME Test ID: 2013-05-02-3096-2 CTM 214-August 2010 (Verified)