Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-03-25-11316738

Project Information

Project IdentifiersProject ID: 6959
DEA: 04297614
EFIS: 0400020580
DIST-CO-RTE-PM04-ALA-84-25.5/27.1
Award Date03/21/2012
Closeout Date01/14/2016
Work DescriptionWIDEN EXIST HWY AND BR; CONSTRUCT AN ACCESS BR AND RETAINING WALLS.
Location DescriptionALAMEDA COUNTY IN AND NEAR LIVERMORE FROM 0.4 MILE NORTH OF CONCANNON BOULEVARD TO JACK LONDON BOULEVARD
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date03/25/2014 Sample Unique Key11316738
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 testing03/17/2014
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byRommel Last name of sampler or witnessed byPardo
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification14FPCC-0124 C738980 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameSante Fe Aggregate Waterford Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-50-0006
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-03-25-11316738-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandThomas StinettCT HQ - Sacramento Aggregate Testing Laboratory03/25/2014Thomas Stinett
Yes
03/25/2014