Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2021-02-08-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214422 DEA: 040J6424 EFIS: 0414000476 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-32.8/R54.2 |
| Award Date | 12/24/2019 |
| Closeout Date | Not set |
| Work Description | CRACK, SEAT AND OVERLAY WITH RHMA AND HMA, AND REPLACE CULVERTS. |
| Location Description | SONOMA COUNTY AT VARIOUS LOCATIONS FROM LIMERICK LANE OVERCROSSING TO ROUTE 101/128 SEPARATION |
| QA Service Level | 1 (Verified on 09/23/2019) |
Sample Information
| Sample Taken Date | 02/08/2021 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 02/08/2021 |
| Sample type | Annual Source Testing | A brief description of the sample | 3/8" X #8 |
| 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 | Mark West Quarry | Transportation Laboratory (TL) Number | C044320 |
| 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) | 91-49-0032 |
|---|---|---|---|
| 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 | 3/8 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 |
|---|---|---|---|---|---|---|---|---|
| 2021-02-08-18-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Anthony Valdez, CT D04 - Petaluma Field Laboratory | 02/10/2021 | Glenn Cea | No | Info | ||
| 2021-02-08-18-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Anthony Valdez, CT D04 - Petaluma Field Laboratory | 02/10/2021 | Glenn Cea | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-02-08-18-1 CTM 202-November 2011
DIME Test ID: 2021-02-08-18-2 CTM 227-December 2014