Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-02-05-26
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
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DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 02/05/2021 | Sample Unique Key | 26 |
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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 | 03/12/2021 |
Sample type | Aggregate Prequalification Program | A brief description of the sample | 3/8" crushed rock APP |
The quantity of what the sample constitutes | about 140 lb | From where was the sample collected | Source |
First name of sampler or witnessed by | Jordan Baker | Last name of sampler or witnessed by | Jordan Baker |
Title of sampler | QC Manager | Telephone number of sampler | 530-227-0982 |
Laboratory sample identification | 21-APP-0041 | Linked DIME Sample ID | 2021-02-05-23 |
The fabricator/manufacturer/facility name | Deer Creek Rock and Asphalt | Transportation Laboratory (TL) Number | |
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) | 91-54-0021::DEER CREEK ASPHALT |
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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 at plant | |
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: 2021-02-05-26-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-02-05-26-2 CTM 211-May 2010 (Verified)
DIME Test ID: 2021-02-05-26-3 CTM 214-August 2010 (Verified)
DIME Test ID: 2021-02-05-26-4 CTM 227-December 2014 (Verified)