Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2019-03-19-16
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Project Information
| Project Identifiers | Project ID: 212587 DEA: 06461504 EFIS: 0600020148 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-190-0.0/8.0 |
| Award Date | 11/29/2017 |
| Closeout Date | 08/13/2020 |
| Work Description | LANE AND SHOULDER WIDENING AND OVERLAY |
| Location Description | TULARE COUNTY NEAR TIPTON FROM 0.1 MILE WEST OF ROUTE 99 TO 0.1 MILE EAST OF ROAD 180 |
| QA Service Level | 1 (Verified on 04/24/2018) |
Sample Information
| Sample Taken Date | 03/19/2019 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 04/05/2019 |
| Sample type | Quality Control | A brief description of the sample | Coarse PCC Aggregate |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Ruiz |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 19-PCCC-0069 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Porterville Rock | Transportation Laboratory (TL) Number | C982515A |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-54-0038::WILCOX MINE |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | 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: 2019-03-19-16-1 CTM 214-August 2010 (Verified)