Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2019-05-07-12
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213274 DEA: 010C8104 EFIS: 0113000060 |
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DIST-CO-RTE-PM | 01-LAK-20,53-31.1/31.8,7.0/7.4 |
Award Date | 06/11/2018 |
Closeout Date | 07/09/2021 |
Work Description | CONSTRUCT ROUNDABOUT |
Location Description | LAKE COUNTY NEAR CLEARLAKE OAKS ON ROUTE 20 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 53 AND ON ROUTE 53 FROM 0.4 MILE SOUTH OF ROUTE 20 TO ROUTE 20 |
QA Service Level | 1 (Verified on 04/27/2018) |
Sample Information
Sample Taken Date | 05/07/2019 | Sample Unique Key | 12 |
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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 | 05/29/2019 |
Sample type | Quality Assurance | A brief description of the sample | 1x#4 coarse agg |
The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Source |
First name of sampler or witnessed by | A | Last name of sampler or witnessed by | Hanthey |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | 19-CPCC-0095 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | stock pile | Transportation Laboratory (TL) Number | C724426 |
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) | 91-23-0015 |
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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 | NorCal Concrete Ukiah, CA |
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 |
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No results found. |
Test File Attachments
DIME Test ID: 2019-05-07-12-1 CTM 214-August 2010 (Verified)
DIME Test ID: 2019-05-07-12-2 CTM 214-August 2010 (Verified)