Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-09-16-26

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212912
DEA: 010H6904
EFIS: 0118000074
DIST-CO-RTE-PM01-DN-101-15.1/15.5
Award Date11/15/2017
Closeout Date07/15/2021
Work DescriptionRoadway stabilization & retaining wall repair
Location DescriptionNot set
QA Service Level1 (Verified on 01/26/2018)

Sample Information

Sample Taken Date09/16/2020 Sample Unique Key26
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 testing11/02/2020
Sample typeQuality Assurance A brief description of the sample3 individual sieve size
The quantity of what the sample constitutes1 box 3 small bags in side From where was the sample collectedSource
First name of sampler or witnessed byKenneth Last name of sampler or witnessed bySutterfield
Title of samplerARE Telephone number of sampler
Laboratory sample identification20-PCC-0220 Linked DIME Sample ID
The fabricator/manufacturer/facility namena Transportation Laboratory (TL) NumberC717695
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)91-08-0002
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 collectedLow Mid High Mini stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-09-16-26-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBang NguyenCT HQ - Sacramento Aggregate Testing Laboratory11/20/2020Bang Nguyen
Yes
11/20/2020