Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2021-01-28-9

Project Information

Project IdentifiersProject ID: 210673
DEA: 042640F4
EFIS: 0400020132
COOP: 042308A3
DIST-CO-RTE-PM04-SON--
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date01/28/2021 Sample Unique Key9
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 testing01/28/2021
Sample typeAnnual Source Testing A brief description of the samplePCC Sand
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byValdez
Title of sampler Consultant tester Telephone number of sampler
Laboratory sample identificationC044322 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCanyon Rock Quarry Transportation Laboratory (TL) NumberC044322
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)91-49-0004::CANYON ROCK CO., INC.
The fabricator's/manufacturer's product name for the sampleCanyon Rock Quarry The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-01-28-9-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAnthony ValdezCT D04 - Petaluma Field Laboratory01/29/2021Glenn Cea
No
Info
2021-01-28-9-3CTM 217-June 2011: Method of Test for Sand EquivalentAnthony ValdezCT D04 - Petaluma Field Laboratory01/29/2021Glenn Cea
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-01-28-9-2 CTM 202-November 2011
DIME Test ID: 2021-01-28-9-3 CTM 217-June 2011