Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-04-07-11199426

Project Information

Project IdentifiersProject ID: 10016
DEA: 06342524
EFIS: 0600000381
DIST-CO-RTE-PM06-FRE-180-R71.8/74.5
Award Date04/23/2013
Closeout Date10/19/2020
Work DescriptionNEW EXPRESS HIGHWAY
Location DescriptionFRESNO COUNTY ABOUT 6.3 MILES EAST OF FRESNO FROM 0.6 MILE WEST OF QUALITY AVENUE TO 0.2 MILE WEST OF SMITH AVENUE
QA Service Level1 (Verified on 07/23/2013)

Sample Information

Sample Taken Date04/07/2014 Sample Unique Key11199426
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 testing03/25/2014
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byMark Last name of sampler or witnessed byMengoni
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification14FPCC-0133 C812735C Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Sanger Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)NA
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-04-07-11199426-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory04/07/2014Thomas Stinnett
Yes
04/07/2014