Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-07-27-1

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 Date07/27/2021 Sample Unique Key1
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 testing07/27/2021
Sample typeAggregate Prequalification Program A brief description of the sample1x4 Aggregates
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byJohn Last name of sampler or witnessed byDoe
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFake 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)91-19-0000
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 collectedstockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 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
2021-07-27-1-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory07/27/2021Ryan Kester
Yes
07/27/2021
2021-07-27-1-2CTM 217-June 2011: Method of Test for Sand EquivalentRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory07/27/2021Ryan Kester
No
Info