Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2019-12-17-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212618
DEA: 044G0564
EFIS: 0417000154
DIST-CO-RTE-PM04-ALA-680-M2.4/M12.4
Award Date11/16/2017
Closeout Date12/08/2022
Work DescriptionROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location DescriptionFREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
QA Service Level1 (Verified on 10/16/2017)

Sample Information

Sample Taken Date12/17/2019 Sample Unique Key19
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 testing02/14/2020
Sample typeAnnual Source Testing A brief description of the samplePCC Sand
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byArt Last name of sampler or witnessed byFlores
Title of sampler Telephone number of sampler
Laboratory sample identification20-PCCF-0023 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAR Wilson Quarry Transportation Laboratory (TL) NumberC934609
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate 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 sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-17-19-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandRyan Kester, CT HQ - Sacramento Aggregate Testing Laboratory04/03/2020Bang Nguyen
Yes
04/07/2020
2019-12-17-19-2CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRK/JH, CT HQ - Sacramento Aggregate Testing Laboratory04/06/2020Bang Nguyen
Yes
04/07/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-12-17-19-1 CTM 213-December 2012 (Verified)
DIME Test ID: 2019-12-17-19-2 CTM 214-August 2010 (Verified)