Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2013-11-22-3019

Project Information

Project IdentifiersProject ID: 7773
DEA: 031E5104
EFIS: 0300000266
DIST-CO-RTE-PM03-BUT-70-28.0/29.2
Award Date03/20/2013
Closeout Date11/10/2015
Work DescriptionRETROFIT STEEL MEMBERS, CLEAN AND PAINT STEEL, PREPARE BRIDGE DECK.
Location DescriptionBUTTE COUNTY NEAR CHEROKEE AT WEST BRANCH FEATHER RIVER BRIDGE
QA Service Level1 (Verified on 12/03/2012)

Sample Information

Sample Taken Date11/22/2013 Sample Unique Key3019
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 testing11/28/2013
Sample typeAnnual Source Testing A brief description of the sample1x 4 Pcc Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byGlenn Last name of sampler or witnessed byWinckler
Title of samplerTET Telephone number of samplerNot set
Laboratory sample identificationAG130391 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameWestern Aggregates Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-58-0001
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedunknown
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-11-22-3019-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateEd PerezCT HQ - Sacramento Aggregate Testing Laboratory12/16/2013Ed Perez
Yes
12/16/2013