Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-04-09-8842

Project Information

Project IdentifiersProject ID: 209055
DEA: 02360704
EFIS: 0200000262
DIST-CO-RTE-PM02-SHA-299-30.3/40.7
Award Date11/05/2013
Closeout Date12/27/2016
Work DescriptionREPAIR ROADWAY WITH SUPERPAVE HMA OVER AB.
Location DescriptionSHASTA COUNTY AT AND NEAR BELLA VISTA FROM 0.3 MILE EAST OF INTERMOUNTAIN ROAD TO 0.2 MILE WEST OF BACKBONE RIDGE ROAD
QA Service Level1 (Verified on 11/19/2013)

Sample Information

Sample Taken Date04/09/2014 Sample Unique Key8842
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 testing05/09/2014
Sample typeAnnual Source Testing A brief description of the sample3/4 HMA-SP Type A
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byD Last name of sampler or witnessed byLockett
Title of samplerCGI Lab Manager Telephone number of samplerNot set
Laboratory sample identification14ASPH-0230 C847781 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameFawndale Rock Quarry / J.F. Shea Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-45-0017
The fabricator's/manufacturer's product name for the sample3/4 HMA The fabricator/manufacturer designation for the sampleNot set
The plant number91-45-0017 A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-04-09-8842-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateEd PerezCT HQ - Sacramento Aggregate Testing Laboratory05/23/2014Ed Perez
Yes
05/23/2014DIME software program is not currently set up to report AASHTO T-104 results.
2014-04-09-8842-2CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateEd PerezCT HQ - Sacramento Aggregate Testing Laboratory05/23/2014Ed Perez
Yes
05/23/2014DIME software program is not currently set up to report AASHTO T-104 results.