Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-08-05-3268

Project Information

Project IdentifiersProject ID: 7241
DEA: 060E0404
EFIS: 0600000043
DIST-CO-RTE-PM06-MAD-99-905/13.1
Award Date06/28/2011
Closeout Date10/01/2014
Work DescriptionPAVEMENT REHABILITATION
Location DescriptionIN MADERA COUNTY IN AND NEAR MADERA FROM 0.3 MILE SOUTH OF SOUTH MADERA OVERCROSSING TO 0.4 MILE NORTH OF AVENUE 16 OVERCROSSING
QA Service Level1 (Verified on 09/28/2012)

Sample Information

Sample Taken Date08/05/2013 Sample Unique Key3268
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 testing08/05/2013
Sample typeAnnual Source Testing A brief description of the sampleFine Aggregate Sand
The quantity of what the sample constitutes1bag From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byZamora
Title of samplerTET Telephone number of samplerNot set
Laboratory sample identification13FPCC-0269 C922608 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameGranite Colinga 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)NA
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 collectedPlant Stockpile
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
2013-08-05-3268-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory08/05/2013Thomas Stinnett
Yes
08/06/2013
2013-08-05-3268-2CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandEd PerezCT HQ - Sacramento Aggregate Testing Laboratory07/24/2013Ed Perez
Yes
08/06/2013