DIME - Sample Record for DIME Sample ID 2021-01-05-26

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DIME » All Projects » Project - DEA: 041J5694 » Sample 2021-01-05-26 » Sample Details

Sample Record

Owner Lab

CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-01-05-26

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Project Information

Project Identifiers	Project ID: 214601 DEA: 041J5694 EFIS: 0419000313
DIST-CO-RTE-PM	04-SM-101-0.0/21.8
Award Date	12/03/2019
Closeout Date	09/28/2022
Work Description	San Mateo US 101 Express Lanes North
Location Description	Not set
QA Service Level	1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date	01/05/2021	Sample Unique Key	26
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	04/01/2021
Sample type	Annual Source Testing	A brief description of the sample	sand
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Source
First name of sampler or witnessed by	L	Last name of sampler or witnessed by	Magana
Title of sampler	Consultant	Telephone number of sampler
Laboratory sample identification	21-PCCF-0058	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Oak 101 Sand Hanson	Transportation Laboratory (TL) Number	C924562
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)	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 collected	Stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2021-01-05-26-1	CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand	Ryan Kester, CT HQ - Sacramento Aggregate Testing Laboratory	04/05/2021	Bang Nguyen	Yes	04/16/2021	2 small pieces (about 2.5mmx1.2mm, and 2mmx2mm not floating, they are rested on top to the fine).

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2021-01-05-26-1 CTM 213-December 2012 (Verified)