Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2019-10-31-28

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210673
DEA: 042640F4
EFIS: 0400020132
COOP: 042308A3
DIST-CO-RTE-PM04---
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date10/31/2019 Sample Unique Key28
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 testing01/02/2020
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed bycj Last name of sampler or witnessed bySousa
Title of sampler Telephone number of sampler
Laboratory sample identification20-0002 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Capay Transportation Laboratory (TL) Numberc870911
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-57-0014::CAPAY
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 collectedStockpile Quarry
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-10-31-28-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandJay HortonCT HQ - Sacramento Aggregate Testing Laboratory01/03/2020Jay Horton
Yes
01/17/2020