Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-12-14-23

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212244
DEA: 044G8404
EFIS: 0413000051
DIST-CO-RTE-PM04-NAP-128-20.1/20.4
Award Date02/19/2019
Closeout DateNot set
Work DescriptionREPLACE CAPELL CREEK BRIDGE
Location DescriptionNAPA COUNTY ABOUT 15 MILES EAST OF RUTHERFORD FROM 1.1 MILES EAST OF KNOXVILLE ROAD TO 0.3 MILE WEST OF CAPELL VALLEY CREST
QA Service Level1 (Verified on 05/20/2017)

Sample Information

Sample Taken Date12/14/2020 Sample Unique Key23
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 testing12/22/2020
Sample typeQuality Assurance A brief description of the sampleFine
The quantity of what the sample constitutes1 bags From where was the sample collectedSource
First name of sampler or witnessed byPlant Last name of sampler or witnessed byPlant
Title of samplerQC lab tech Telephone number of sampler
Laboratory sample identification20-FPCC-0244 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Woodland Plant Transportation Laboratory (TL) NumberC043709
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)91-57-0002::WOODLAND PLANT
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 collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
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
2020-12-14-23-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandBang NguyenCT HQ - Sacramento Aggregate Testing Laboratory12/24/2020Bang Nguyen
Yes
01/08/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-12-14-23-1 CTM 213-December 2012 (Verified)