Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2019-12-05-19
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Project Information
| Project Identifiers | Project ID: 214059 DEA: 042K7504 EFIS: 0417000019 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-152-7.6/M10.2 |
| Award Date | 05/24/2019 |
| Closeout Date | 04/12/2021 |
| Work Description | ROADWAY REHAB, CURB RAMPS, SIGNALS, AND STRIPING UPGRADES. |
| Location Description | SANTA CLARA COUNTY IN GILROY FROM 0.3 MILE WEST OF SANTA TERESA BOULEVARD TO ROUTE 101 |
| QA Service Level | 1 (Verified on 06/04/2019) |
Sample Information
| Sample Taken Date | 12/05/2019 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 3/8 Pea Gravel |
| The quantity of what the sample constitutes | 2 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-APPC-0027 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan - Triangle Rock Los Banos | Transportation Laboratory (TL) Number | C934602 |
| 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) | 91-24-0009::LOS BANOS |
|---|---|---|---|
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-12-05-19-1 CTM 214-August 2010 (Verified)