Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-02-08-29

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214422
DEA: 040J6424
EFIS: 0414000476
DIST-CO-RTE-PM04-SON-101-32.8/R54.2
Award Date12/24/2019
Closeout DateNot set
Work DescriptionCRACK, SEAT AND OVERLAY WITH RHMA AND HMA, AND REPLACE CULVERTS.
Location DescriptionSONOMA COUNTY AT VARIOUS LOCATIONS FROM LIMERICK LANE OVERCROSSING TO ROUTE 101/128 SEPARATION
QA Service Level1 (Verified on 09/23/2019)

Sample Information

Sample Taken Date02/08/2021 Sample Unique Key29
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 testing04/13/2021
Sample typeAnnual Source Testing A brief description of the sampleFine
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byCasy Last name of sampler or witnessed byFarrionion
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification21-PCCF-0063 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMark West Quarry Transportation Laboratory (TL) NumberC044321
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)91-49-0032
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 collectedSanta Rosa stock pile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
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
2021-02-08-29-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory04/29/2021Bang Nguyen
Yes
05/04/2021
2021-02-08-29-2CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRyan Kester/Jay HortonCT HQ - Sacramento Aggregate Testing Laboratory04/30/2021Bang Nguyen
Yes
05/04/2021