Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-11-16-43

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215055
DEA: 042AC204
EFIS: 0420000119
DIST-CO-RTE-PM04-MRN-1-8.5
Award Date07/06/2020
Closeout DateNot set
Work DescriptionSOLDIER PILE WALL (REPAIR)
Location DescriptionNEAR STINSON BEACH FROM COLD STREAM TO 0.2 MILE SOUTH OF LONE TREE CREEK
QA Service Level1 (Verified on 07/01/2020)

Sample Information

Sample Taken Date11/16/2020 Sample Unique Key43
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 testing01/13/2021
Sample typeQuality Assurance A brief description of the sample4-bags coarse aggregate
The quantity of what the sample constitutes1x4 coarse aggregate From where was the sample collectedSource
First name of sampler or witnessed byJulio Last name of sampler or witnessed byP.
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification21-PCCC-0004 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Clayton Transportation Laboratory (TL) NumberC737743
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)91-07-0004
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 Size1 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
2020-11-16-43-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRK/JHCT HQ - Sacramento Aggregate Testing Laboratory01/28/2021Bang Nguyen
Yes
01/28/2021