Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-01-17-9026087

Project Information

Project IdentifiersProject ID: 7914
DEA: 042A4404
EFIS: 0400000823
DIST-CO-RTE-PM04-SCL-152-16.2/R16.5R18.5/R19.5
Award Date03/22/2013
Closeout Date04/14/2021
Work DescriptionPLACE WIDEN HMA RDWY, CONST SOIL NAIL WALLS, RWS; LEFT TURN LANE.
Location DescriptionSANTA CLARA COUNTY NEAR GILROY FROM OLD LAKE ROAD TO 0.3 MILE EAST OF OLD LAKE ROAD AND FROM 0.4 MILE WEST TO 0.6 MILE EAST OF LOVERS LANE
QA Service Level1 (Verified on 12/10/2012)

Sample Information

Sample Taken Date01/17/2014 Sample Unique Key9026087
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 testing01/06/2014
Sample typeAnnual Source Testing A brief description of the sample3/8 inch
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byVernon Last name of sampler or witnessed byNguyen
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameTriangle Rock / Los Banos 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)91-24-0009
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 collectedStockpile
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
2014-01-17-9026087-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory01/17/2014Thomas Stinnett
Yes
01/17/2014