Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2021-01-29-15
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 | 01/29/2021 | Sample Unique Key | 15 |
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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 | 01/29/2021 |
Sample type | Annual Source Testing | A brief description of the sample | 1" #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 | 707-781-2646 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Syar Lake Herman | Transportation Laboratory (TL) Number | C044328 |
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) | 91-48-0002::LAKE HERMAN QUARRY |
---|---|---|---|
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 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 |
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2021-01-29-15-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Anthony Valdez, CT D04 - Petaluma Field Laboratory | 02/01/2021 | Glenn Cea | No | Info | ||
2021-01-29-15-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Anthony Valdez, CT D04 - Petaluma Field Laboratory | 02/01/2021 | Glenn Cea | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-01-29-15-1 CTM 202-November 2011
DIME Test ID: 2021-01-29-15-2 CTM 227-December 2014