Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-01-13-32
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213653 DEA: 044G8204 EFIS: 0413000049 |
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DIST-CO-RTE-PM | 04-MRN-101-10.6/10.8 |
Award Date | 05/05/2020 |
Closeout Date | 08/14/2023 |
Work Description | REPLACE SAN RAFAEL HARBOR BRIDGE (ABC) |
Location Description | MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET |
QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
Sample Taken Date | 01/13/2021 | Sample Unique Key | 32 |
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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 | 02/09/2021 |
Sample type | Annual Source Testing | A brief description of the sample | 4-small bags 3/4,1/2,3/8,#4 |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Julio | Last name of sampler or witnessed by | P |
Title of sampler | Consultant | Telephone number of sampler | |
Laboratory sample identification | 21-PCCC-0020 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Hanson Clayton | Transportation Laboratory (TL) Number | C876397 |
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) | 91-07-0003 |
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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 | 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
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-01-13-32-1 CTM 214-August 2010 (Verified)