Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2014-04-23-9047295
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 7571 DEA: 06471004 EFIS: 0600000463 |
|---|---|
| DIST-CO-RTE-PM | 06-MAD-99-R6.9/R8.2 |
| Award Date | 12/31/1969 |
| Closeout Date | 04/23/2018 |
| Work Description | RECONSTRUCT INTERCHANGE |
| Location Description | MADERA COUNTY NEAR MADERA FROM 0.6 MILE SOUTH OF AVENUE 12 OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 12 OVERCROSSING |
| QA Service Level | 1 (Verified on 10/29/2012) |
Sample Information
| Sample Taken Date | 04/23/2014 | Sample Unique Key | 9047295 |
|---|---|---|---|
| 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 | 03/25/2014 |
| Sample type | Annual Source Testing | A brief description of the sample | 3/8/2014 |
| The quantity of what the sample constitutes | 1Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Oscar | Last name of sampler or witnessed by | Sherill |
| Title of sampler | Not set | Telephone number of sampler | Not set |
| Laboratory sample identification | 14CPCC-0135 C812734B | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Jaxon Baker | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | NA |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Le Grand Asphalt |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2014-04-23-9047295-1 CTM 214-August 2010 (Verified)