Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2020-11-16-44
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Project Information
| Project Identifiers | Project ID: 215055 DEA: 042AC204 EFIS: 0420000114 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-8.5, 8.5-9.5 |
| Award Date | 07/06/2020 |
| Closeout Date | 06/20/2022 |
| Work Description | SOLDIER PILE WALL (REPAIR) |
| Location Description | NEAR STINSON BEACH FROM COLD STREAM TO 0.2 MILE SOUTH OF LONE TREE CREEK |
| QA Service Level | 1 (Verified on 07/01/2020) |
Sample Information
| Sample Taken Date | 11/16/2020 | Sample Unique Key | 44 |
|---|---|---|---|
| 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 | 01/13/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 3-bags coarse aggregate |
| The quantity of what the sample constitutes | 1/2x4 coarse aggregate | From where was the sample collected | Source |
| First name of sampler or witnessed by | Julio | Last name of sampler or witnessed by | P. |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | 21-PCCC-0005 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex Clayton | Transportation Laboratory (TL) Number | C737744 |
| 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) | 91-07-0004 |
|---|---|---|---|
| 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 collected | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 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: 2020-11-16-44-1 CTM 214-August 2010 (Verified)