Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-02-09-35

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213903
DEA: 043G4544
EFIS: 0412000054
DIST-CO-RTE-PM04-ALA,SM-92-R14.4/R18.8,R0.0/R.2.4
Award Date12/31/2019
Closeout DateNot set
Work DescriptionRepair Spalled Concrete Columns and Spandrel Beams
Location DescriptionSan Mateo-Hayward Bridge
QA Service Level1 (Verified on 01/22/2019)

Sample Information

Sample Taken Date02/09/2021 Sample Unique Key35
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 testing02/22/2021
Sample typePer Request A brief description of the sample3/8 pea gravel Elephant Armor
The quantity of what the sample constitutes1-5gallon bucket From where was the sample collectedManufacturer
First name of sampler or witnessed byBeames Last name of sampler or witnessed byWilliams
Title of samplerVP Telephone number of sampler
Laboratory sample identification21-0025 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGST international Transportation Laboratory (TL) NumberC902227
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)na
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 collectedbag
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-02-09-35-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesBang NguyenCT HQ - Sacramento Aggregate Testing Laboratory02/23/2021Bang Nguyen
Yes
02/25/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-02-09-35-1 CTM 202-November 2011 (Verified)