Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2021-01-28-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210673 DEA: 042640F4 EFIS: 0400020132 COOP: 042308A3 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-- |
| Award Date | 08/08/2019 |
| Closeout Date | 02/16/2024 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
| Sample Taken Date | 01/28/2021 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 01/28/2021 |
| Sample type | Annual Source Testing | A brief description of the sample | 1/2"X#4 |
| The quantity of what the sample constitutes | 6 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Valdez |
| Title of sampler | Consultant Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Canyon Rock Quarry | Transportation Laboratory (TL) Number | C044324 |
| 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) | 91-49-0004::CANYON ROCK CO., INC. |
|---|---|---|---|
| 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 @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2021-01-28-11-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Anthony Valdez, CT D04 - Petaluma Field Laboratory | 01/29/2021 | Glenn Cea | No | 1/2"X #4 | Info | |
| 2021-01-28-11-3 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Anthony Valdez, CT D04 - Petaluma Field Laboratory | 01/29/2021 | Glenn Cea | No | 1/2" X#4 | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-01-28-11-1 CTM 202-November 2011
DIME Test ID: 2021-01-28-11-3 CTM 227-December 2014