Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2019-12-17-17
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Project Information
| Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-M2.4/M12.4 |
| Award Date | 11/16/2017 |
| Closeout Date | 12/08/2022 |
| Work Description | ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS |
| Location Description | FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/16/2017) |
Sample Information
| Sample Taken Date | 12/17/2019 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 02/14/2020 |
| Sample type | Annual Source Testing | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 11 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Art | Last name of sampler or witnessed by | Flores |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 20-PCCC-0021 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AR Wilson Quarry | Transportation Laboratory (TL) Number | C934607 |
| 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) | 91-35-0012::A.R. WILSON QUARRY |
|---|---|---|---|
| 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 | 1 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-12-17-17-1 CTM 214-August 2010 (Verified)