Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-07-12-7268215

Project Information

Project IdentifiersProject ID: 10004
DEA: 024F1404
EFIS: 0212000118
DIST-CO-RTE-PM02-MOD-299-40.6/R46.7
Award Date03/21/2013
Closeout Date07/23/2013
Work DescriptionCOLD IN-PLACE RECYCLE WITH HMA OVERLAY
Location DescriptionMODOC COUNTY NEAR ALTURAS FROM ROUTE 395 TO 0.4 MILE EAST OF COUNTY ROAD 58
QA Service Level1 (Verified on 02/27/2013)

Sample Information

Sample Taken Date07/12/2013 Sample Unique Key7268215
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 testing06/26/2013
Sample typeAnnual Source Testing A brief description of the sampleASPH
The quantity of what the sample constitutes1Bag From where was the sample collectedSource
First name of sampler or witnessed byG Last name of sampler or witnessed byGault
Title of samplerTET Telephone number of samplerNot set
Laboratory sample identification13ASPH-0262 C847779 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameEagle Peak Rock and Paving Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Hogsback Alturas 91-25-0029
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpiles
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-07-12-7268215-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory06/26/2013Thomas Stinnett
Yes
07/12/2013
2013-07-12-7268215-2CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory06/26/2013Thomas Stinnett
Yes
07/12/2013