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 Identifiers | Project ID: 213903 DEA: 043G4544 EFIS: 0412000054 |
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DIST-CO-RTE-PM | 04-ALA,SM-92-R14.4/R18.8,R0.0/R.2.4 |
Award Date | 12/31/2019 |
Closeout Date | Not set |
Work Description | Repair Spalled Concrete Columns and Spandrel Beams |
Location Description | San Mateo-Hayward Bridge |
QA Service Level | 1 (Verified on 01/22/2019) |
Sample Information
Sample Taken Date | 02/09/2021 | Sample Unique Key | 35 |
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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 | 02/22/2021 |
Sample type | Per Request | A brief description of the sample | 3/8 pea gravel Elephant Armor |
The quantity of what the sample constitutes | 1-5gallon bucket | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Beames | Last name of sampler or witnessed by | Williams |
Title of sampler | VP | Telephone number of sampler | |
Laboratory sample identification | 21-0025 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | GST international | Transportation Laboratory (TL) Number | C902227 |
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) | na |
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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 | bag | |
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
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-02-09-35-1 CTM 202-November 2011 (Verified)