Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-05-08-4
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Project Information
| Project Identifiers | Project ID: 215359 DEA: 081K1904 EFIS: 0818000207 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-16.1/169.4 |
| Award Date | 02/05/2021 |
| Closeout Date | 07/27/2022 |
| Work Description | REMOVE, PREPARE AND FURNISH POLYESTER CONC OVERLAY & BRIDGE DECK. |
| Location Description | SAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT VARIOUS LOCATIONS FROM CAJON CREEK TO MICRO DITCH. |
| QA Service Level | 1 (Verified on 03/30/2021) |
Sample Information
| Sample Taken Date | 05/08/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 05/25/2021 |
| Sample type | Acceptance | A brief description of the sample | Aggregate filler for Rapid set |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jegbefume | Last name of sampler or witnessed by | Adodo |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 21-PCC-0100 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | not provided | Transportation Laboratory (TL) Number | C |
| 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) | na |
|---|---|---|---|
| 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 | Original Manufacturer Packaging | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 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: 2021-05-08-4-1 CTM 226-July 2010 (Verified)
DIME Test ID: 2021-05-08-4-2 CTM 202-November 2011 (Verified)