Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-02-27-11410333

Project Information

Project IdentifiersProject ID: 7467
DEA: 043A9214
EFIS: 0412000339
COOP: 042445
DIST-CO-RTE-PM04-ALA-880-22.6/24.0
Award Date09/14/2012
Closeout Date09/28/2016
Work DescriptionWIDEN FREEWAY, REPLACE OVERCROSSINGS, AND RECONSTRUCT RAMPS/ROADS.
Location DescriptionALAMEDA COUNTY IN SAN LEANDRO FROM 0.4 MILE SOUTH OF MARINA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF ROUTE 112/880 SEPARATION
QA Service Level1 (Verified on 10/05/2012)

Sample Information

Sample Taken Date02/27/2014 Sample Unique Key11410333
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 testing02/10/2014
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byBahadur Last name of sampler or witnessed bySingh
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification14FPCC-0084 C690246 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameGranite Vernalis 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)91-39-0002::VERNALIS
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
2014-02-27-11410333-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory02/27/2014Thomas Stinnett
Yes
02/27/2014