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 IdentifiersProject ID: 210673
DEA: 042640F4
EFIS: 0400020132
COOP: 042308A3
DIST-CO-RTE-PM04-SON--
Award Date08/08/2019
Closeout Date02/16/2024
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date01/28/2021 Sample Unique Key25
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 testing03/04/2021
Sample typeAnnual Source Testing A brief description of the sample3-small bags 1/2,3/8,#4
The quantity of what the sample constitutes3-small bags of aggregate From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byRottos
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification21-PCCC-0035 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCanyon Rock Transportation Laboratory (TL) NumberC044324
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-49-0004::CANYON ROCK CO., INC.
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 collectedForrestville, CA
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-01-28-25-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRK/JH, CT HQ - Sacramento Aggregate Testing Laboratory03/24/2021Bang Nguyen
Yes
03/24/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-01-28-25-1 CTM 214-August 2010 (Verified)