Sample Record

Owner Labs

  • CT D02 - North Region Materials Lab
  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-12-03-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212657
DEA: 024G5004
EFIS: 0214000031
DIST-CO-RTE-PM02-TRI-299-1.9-2.3
Award Date10/01/2019
Closeout DateNot set
Work DescriptionVIADUCT WIDENING
Location DescriptionTRINITY COUNTY NEAR SALYER FROM 0.1 MILE EAST TO 0.6 MILE EAST OF WHITE HOUSE GULCH ROAD
QA Service Level1 (Verified on 09/04/2018)

Sample Information

Sample Taken Date12/03/2020 Sample Unique Key13
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 testing12/03/2020
Sample typePer Request A brief description of the sampleCoarse PCC Aggregate
The quantity of what the sample constitutesUnknown Quantity From where was the sample collectedManufacturer
First name of sampler or witnessed byColt Last name of sampler or witnessed bySweeny
Title of sampler Telephone number of sampler
Laboratory sample identificationD78703A Linked DIME Sample ID
The fabricator/manufacturer/facility nameEureka Ready Mix Transportation Laboratory (TL) Number897722
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)Unkown
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
2020-12-03-13-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDennis HickeyCT D02 - North Region Materials Lab12/04/2020Ward Jenkins
Yes
02/05/2021
2020-12-03-13-2CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBang NguyenCT HQ - Sacramento Aggregate Testing Laboratory03/01/2021Bang Nguyen
Yes
03/01/2021