Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-02-03-6289674

Project Information

Project IdentifiersProject ID: 7566
DEA: 042640K4
EFIS: 0412000406
COOP: 0412458
DIST-CO-RTE-PM04---
Award DateNot set
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date02/03/2014 Sample Unique Key6289674
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing01/30/2014
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1Bag From where was the sample collectedSource
First name of sampler or witnessed byRichard Last name of sampler or witnessed byDuncan
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameCanyon Rock Quarry 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)91-49-0004
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
2014-02-03-6289674-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory02/03/2014Thomas Stinnett
Yes
02/03/2014