Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-01-05-24

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214601
DEA: 041J5694
EFIS: 0419000313
DIST-CO-RTE-PM04-SM-101-0.0/21.8
Award Date12/03/2019
Closeout Date09/28/2022
Work DescriptionSan Mateo US 101 Express Lanes North
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date01/05/2021 Sample Unique Key24
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 testing04/01/2021
Sample typeAnnual Source Testing A brief description of the sampleconcrete sand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byL Last name of sampler or witnessed byMagena
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification21-PCCF-0056 Linked DIME Sample ID
The fabricator/manufacturer/facility nameOrca Sand Hanson Transportation Laboratory (TL) NumberC924560
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)07-008-013
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 collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
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
2021-01-05-24-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandRyan Kester, CT HQ - Sacramento Aggregate Testing Laboratory04/05/2021Bang Nguyen
Yes
04/16/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-01-05-24-1 CTM 213-December 2012 (Verified)