Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-11-19-15

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 DateNot set
Closeout DateNot set
Work DescriptionBarrier modifications, overhead signs, freeway lighting and electronic toll system components
Location DescriptionSANTA CLARA AND SAN MATEO COUNTIES FROM 0.3 MILE NORTH OF SAN ANTONIO ROAD TO 0.3 MILE SOUTH OF GRAND AVENUE INTERCHANGE
QA Service Level1 (Verified on 02/21/2020)

Sample Information

Sample Taken Date11/19/2020 Sample Unique Key15
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 sample3/8 Aggregates
The quantity of what the sample constitutes1 small bag From where was the sample collectedSource
First name of sampler or witnessed byB Last name of sampler or witnessed bySingh
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification21-PCCC-0049 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAR Wilson Transportation Laboratory (TL) NumberC934613
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-35-0012
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 collectedsource
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-11-19-15-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRyan Kester/ Jay HortonCT HQ - Sacramento Aggregate Testing Laboratory04/16/2021Bang Nguyen
Yes
04/16/2021