Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-12-02-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213727
DEA: 041A6834
EFIS: 0412000335
DIST-CO-RTE-PM04-ALA-880-28.5 / 29.2
Award Date03/25/2019
Closeout Date01/13/2023
Work DescriptionREHABILITATE ROADWAY.
Location DescriptionIN OAKLAND, FROM 23RD TO 29TH STREET.
QA Service Level1 (Verified on 05/14/2019)

Sample Information

Sample Taken Date12/02/2020 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 testing01/27/2021
Sample typeAnnual Source Testing A brief description of the sample3/4x#4 coarse aggregate
The quantity of what the sample constitutes4-bags coarse aggregate From where was the sample collectedSource
First name of sampler or witnessed byplant personnel Last name of sampler or witnessed byplant personnel
Title of samplerQC Tech Telephone number of sampler
Laboratory sample identification21-PCCC-0008 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Pleasanton Transportation Laboratory (TL) NumberC924556
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-01-0010
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 Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-12-02-13-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRK/JH, CT HQ - Sacramento Aggregate Testing Laboratory02/17/2021Bang Nguyen
Yes
02/18/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-12-02-13-1 CTM 214-August 2010 (Verified)