Sample Record

Owner Lab

  • Trinity Engineering Laboratories, Inc. - Fresno

DIME Sample ID 2020-09-16-20

Project Information

Project IdentifiersProject ID: 214492
DEA: 033F5404
EFIS: 0313000136
DIST-CO-RTE-PM03-SAC-99,160-4.5/5.7,R44.5
Award Date01/24/2020
Closeout DateNot set
Work DescriptionFURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location DescriptionSACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
QA Service Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date09/16/2020 Sample Unique Key20
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 testing09/17/2020
Sample typeQuality Control A brief description of the sampleCombined
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byMatthew Last name of sampler or witnessed byHorn
Title of samplerQC Technician Telephone number of sampler5592922188
Laboratory sample identification20-192 091620 Combined Linked DIME Sample ID
The fabricator/manufacturer/facility nameCEMEX Lodi Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-39-0021
The fabricator's/manufacturer's product name for the sampleCombined The fabricator/manufacturer designation for the sample
The plant numberf62 A detailed description of where the material sample was collectedbelt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number1604645 Lot number1
Sublot number1 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-09-16-20-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMatthew HornTrinity Engineering Laboratories, Inc. - Fresno09/25/2020Christen Guilmette
No
Info