Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2019-01-11-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211778
DEA: 04235654
EFIS: 0400000680
DIST-CO-RTE-PM04-SM-101,114-1.3/2.5,5.0/5.3
Award Date02/10/2017
Closeout Date01/08/2020
Work DescriptionRECONSTRUCT INTERCHANGE
Location DescriptionSAN MATEO COUNTY AT VARIOUS LOCATIONS ON ROUTE 101 FROM 0.4 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.6 MILE SOUTH OF HENDERSON UNDERPASS AND ON ROUTE 114 FROM WILLOW ROAD SEPARATION TO NEWBRIDGE STREET
QA Service Level1 (Verified on 10/24/2016)

Sample Information

Sample Taken Date01/11/2019 Sample Unique Key13
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 testing02/27/2019
Sample typeAnnual Source Testing A brief description of the sample1x4 PCC Aggregates
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byQC Last name of sampler or witnessed byPersonnel
Title of sampler Telephone number of sampler
Laboratory sample identification19-0060 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Pleasanton Transportation Laboratory (TL) NumberC977624
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)::PORT MCNEIL QUARRY(ORCA AGGREGATE)
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 collectedPlant
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 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-01-11-13-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBang Nguyen, CT HQ - Sacramento Aggregate Testing Laboratory04/09/2019Bang Nguyen
Yes
04/09/2019

Sample File Attachments

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Test File Attachments


DIME Test ID: 2019-01-11-13-1 CTM 214-August 2010 (Verified)