Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2019-05-07-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213274
DEA: 010C8104
EFIS: 0113000060
DIST-CO-RTE-PM01-LAK-20,53-31.1/31.8,7.0/7.4
Award Date06/11/2018
Closeout Date07/09/2021
Work DescriptionCONSTRUCT ROUNDABOUT
Location DescriptionLAKE 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 Level1 (Verified on 04/27/2018)

Sample Information

Sample Taken Date05/07/2019 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 testing05/29/2019
Sample typeQuality Assurance A brief description of the sampleFine Aggregate
The quantity of what the sample constitutes2 bags From where was the sample collectedSource
First name of sampler or witnessed byA Last name of sampler or witnessed byHanthey
Title of samplerTET Telephone number of sampler
Laboratory sample identification19-FPCC-0096 Linked DIME Sample ID
The fabricator/manufacturer/facility namestock pile Transportation Laboratory (TL) NumberC724426
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-23-0015
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 collectedNorCal Concrete Ukiah, CA
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
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
2019-05-07-13-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRyan Kester, CT HQ - Sacramento Aggregate Testing Laboratory06/12/2019Bang Nguyen
Yes
06/12/2019

Sample File Attachments

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Test File Attachments


DIME Test ID: 2019-05-07-13-1 CTM 214-August 2010 (Verified)