Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-04-23-9047295

Project Information

Project IdentifiersProject ID: 7571
DEA: 06471004
EFIS: 0600000463
DIST-CO-RTE-PM06-MAD-99-R6.9/R8.2
Award Date12/31/1969
Closeout Date04/23/2018
Work DescriptionRECONSTRUCT INTERCHANGE
Location DescriptionMADERA COUNTY NEAR MADERA FROM 0.6 MILE SOUTH OF AVENUE 12 OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 12 OVERCROSSING
QA Service Level1 (Verified on 10/29/2012)

Sample Information

Sample Taken Date04/23/2014 Sample Unique Key9047295
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 sample3/8/2014
The quantity of what the sample constitutes1Bag From where was the sample collectedSource
First name of sampler or witnessed byOscar Last name of sampler or witnessed bySherill
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification14CPCC-0135 C812734B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameJaxon Baker 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 collectedLe Grand Asphalt
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
2014-04-23-9047295-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory04/23/2014Thomas Stinnett
Yes
04/23/2014