Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-04-08-9028271

Project Information

Project IdentifiersProject ID: 6959
DEA: 04297614
EFIS: 0400020580
DIST-CO-RTE-PM04-ALA-84-25.5/27.1
Award Date03/21/2012
Closeout Date01/14/2016
Work DescriptionWIDEN EXIST HWY AND BR; CONSTRUCT AN ACCESS BR AND RETAINING WALLS.
Location DescriptionALAMEDA COUNTY IN AND NEAR LIVERMORE FROM 0.4 MILE NORTH OF CONCANNON BOULEVARD TO JACK LONDON BOULEVARD
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date04/08/2014 Sample Unique Key9028271
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 testing03/17/2014
Sample typeAnnual Source Testing A brief description of the sample1x4
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byRommel Last name of sampler or witnessed byPardo
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification14CPCC-0122 C738978 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameSanta Fe Aggregate 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)91-50-0006
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 collectedWaterford Plant
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
2014-04-08-9028271-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory04/08/2014Thomas Stinnett
Yes
04/08/2014