Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-12-14-30

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212896
DEA: 04160304
EFIS: 0400000429
DIST-CO-RTE-PM04-ALA-84-13.33
Award Date12/15/2020
Closeout DateNot set
Work DescriptionNILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT
Location DescriptionIN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036).
QA Service Level1 (Verified on 09/16/2019)

Sample Information

Sample Taken Date12/14/2020 Sample Unique Key30
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 testing05/13/2021
Sample typeAnnual Source Testing A brief description of the sample3/8 PCC Aggregates
The quantity of what the sample constitutes1 small bag From where was the sample collectedSource
First name of sampler or witnessed byReza Last name of sampler or witnessed byDineli
Title of samplerMCR Telephone number of sampler
Laboratory sample identification21-PCCC-0095 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Pleasanton Transportation Laboratory (TL) NumberC934624
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)91-01-0009
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 collectedplessanton - Eliot 4403
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
2020-12-14-30-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBang Nguyen/Ryan KesterCT HQ - Sacramento Aggregate Testing Laboratory06/01/2021Bang Nguyen
Yes
06/01/2021