Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2020-05-12-33
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Project Information
| Project Identifiers | Project ID: 211501 DEA: 010B5004 EFIS: 0112000133 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101-3.8, 5.3 |
| Award Date | 10/13/2016 |
| Closeout Date | 01/06/2023 |
| Work Description | REPAIR SLIDES. |
| Location Description | MENDOCINO COUNTY AT 0.7 MILE NORTH OF COMMINSKY STATION ROAD AND AT 0.8 MILE SOUTH OF PIETA CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/27/2016) |
Sample Information
| Sample Taken Date | 05/12/2020 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 06/30/2020 |
| Sample type | Preliminary | A brief description of the sample | individual sieve size |
| The quantity of what the sample constitutes | 3-bags individual size | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jerry | Last name of sampler or witnessed by | Oliver |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | 20-PCCC-0103 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Syar Healdsburg | Transportation Laboratory (TL) Number | |
| 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) | not supply |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | 3 bags individual seive size | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | 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: 2020-05-12-33-1 CTM 214-August 2010 (Verified)