Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2019-10-31-27
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Project Information
| Project Identifiers | Project ID: 212300 DEA: 044G3804 EFIS: 0412000463 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116-30.9/31.4 |
| Award Date | 03/15/2019 |
| Closeout Date | 02/16/2024 |
| Work Description | Construct Bridge, Retaining Walls, Traffic Signal |
| Location Description | SONOMA COUNTY NEAR COTATI FROM 0.3 MILE EAST OF HESSEL ROAD TO 0.1 MILE EAST OF BARTLESON ROAD |
| QA Service Level | 1 (Verified on 08/19/2019) |
Sample Information
| Sample Taken Date | 10/31/2019 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 10/31/2019 |
| Sample type | Annual Source Testing | A brief description of the sample | 3/8" x #8 |
| The quantity of what the sample constitutes | 6 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Dan | Last name of sampler or witnessed by | Ostrand |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Syar Healdsburg | Transportation Laboratory (TL) Number | 870042 |
| 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) | 91-49-0062::HEALDSBURG TERRACE PHASE VI |
|---|---|---|---|
| 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 | 3/8 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2019-10-31-27-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Joe Nixa, CT D04 - Petaluma Field Laboratory | 11/01/2019 | Glenn Cea | No | Info | ||
| 2019-10-31-27-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Jaccob Cruz, CT D04 - Petaluma Field Laboratory | 11/01/2019 | Glenn Cea | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-10-31-27-1 CTM 202-November 2011
DIME Test ID: 2019-10-31-27-2 CTM 227-December 2014