Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-06-21-51

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date06/21/2021 Sample Unique Key51
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 testing07/20/2021
Sample typeAggregate Prequalification Program A brief description of the sampleConcrete Sand
The quantity of what the sample constitutesproduction stockpile. From where was the sample collectedSupplier
First name of sampler or witnessed byKevin Last name of sampler or witnessed byOwen
Title of samplerLab Supervisor Telephone number of sampler209-481-2952
Laboratory sample identification21-APPF-0142 Linked DIME Sample ID2021-06-21-34
The fabricator/manufacturer/facility nameSanta Fe Aggregate Waterford Transportation Laboratory (TL) Number
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)91-50-0026
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 collectedPlant Stockpile
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
2021-06-21-51-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesJay HortonCT HQ - Sacramento Aggregate Testing Laboratory07/28/2021Bang Nguyen
Yes
08/16/2021
2021-06-21-51-2CTM 217-June 2011: Method of Test for Sand EquivalentJay HortonCT HQ - Sacramento Aggregate Testing Laboratory08/02/2021Bang Nguyen
Yes
08/16/2021
2021-06-21-51-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandJay HortonCT HQ - Sacramento Aggregate Testing Laboratory08/03/2021Bang Nguyen
Yes
08/16/2021
2021-06-21-51-4CTM 229-June 2011: Method of Test for Durability IndexJay HortonCT HQ - Sacramento Aggregate Testing Laboratory07/28/2021Bang Nguyen
Yes
08/16/2021
2021-06-21-51-5CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRK/JHCT HQ - Sacramento Aggregate Testing Laboratory08/13/2021Bang Nguyen
Yes
08/16/2021