Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2020-11-09-34
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Project Information
| Project Identifiers | Project ID: 213732 DEA: 044K1104 EFIS: 0417000260 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-1-R0.0/0.9,R4.0/6.9 |
| Award Date | 03/14/2019 |
| Closeout Date | 10/26/2022 |
| Work Description | REHABILITATE ROADWAY AND REPLACE SIGNALS. |
| Location Description | THE CITY AND COUNTY OF SAN FRANCISCO FROM SAN MATEO COUNTY LINE TO HOLLOWAY AVENUE AND FROM LINCOLN WAY TO RUCKMAN AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/09/2019) |
Sample Information
| Sample Taken Date | 11/09/2020 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 1x4 Aggregates |
| The quantity of what the sample constitutes | 4 small bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Reza | Last name of sampler or witnessed by | Dineli |
| Title of sampler | M R | Telephone number of sampler | |
| Laboratory sample identification | 21-PCCC-0051 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hanson Sunol | Transportation Laboratory (TL) Number | C934614 |
| 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) | 91-01-0011 |
|---|---|---|---|
| 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 | plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-11-09-34-1 CTM 214-August 2010 (Verified)