Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-01-28-25
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 210673 DEA: 042640F4 EFIS: 0400020132 COOP: 042308A3 |
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DIST-CO-RTE-PM | 04-SON-- |
Award Date | 08/08/2019 |
Closeout Date | 02/16/2024 |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
Sample Taken Date | 01/28/2021 | Sample Unique Key | 25 |
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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 | 03/04/2021 |
Sample type | Annual Source Testing | A brief description of the sample | 3-small bags 1/2,3/8,#4 |
The quantity of what the sample constitutes | 3-small bags of aggregate | From where was the sample collected | Source |
First name of sampler or witnessed by | Jeff | Last name of sampler or witnessed by | Rottos |
Title of sampler | Plant QC | Telephone number of sampler | |
Laboratory sample identification | 21-PCCC-0035 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Canyon Rock | Transportation Laboratory (TL) Number | C044324 |
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) | 91-49-0004::CANYON ROCK CO., INC. |
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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 | Forrestville, CA | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 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: 2021-01-28-25-1 CTM 214-August 2010 (Verified)