Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2020-09-16-26
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Project Information
| Project Identifiers | Project ID: 212912 DEA: 010H6904 EFIS: 0118000074 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-15.1/15.5, 15.1 - 15.5 |
| Award Date | 11/15/2017 |
| Closeout Date | 07/15/2021 |
| Work Description | Roadway stabilization & retaining wall repair |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 01/26/2018) |
Sample Information
| Sample Taken Date | 09/16/2020 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 11/02/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 3 individual sieve size |
| The quantity of what the sample constitutes | 1 box 3 small bags in side | From where was the sample collected | Source |
| First name of sampler or witnessed by | Kenneth | Last name of sampler or witnessed by | Sutterfield |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | 20-PCC-0220 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | na | Transportation Laboratory (TL) Number | C717695 |
| 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) | 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 collected | Low Mid High Mini stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 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: 2020-09-16-26-1 CTM 214-August 2010 (Verified)