Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-11-24-34
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 |
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DIST-CO-RTE-PM | 04-SON-1-15-15.7 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Construct roadway and bridge with structural concrete and CIDH piling |
Location Description | District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7 |
QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
Sample Taken Date | 11/24/2021 | Sample Unique Key | 34 |
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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 | 12/16/2021 |
Sample type | Annual Source Testing | A brief description of the sample | 3/8 coarse aggregate |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Nick | Last name of sampler or witnessed by | Hall |
Title of sampler | Plant QC | Telephone number of sampler | |
Laboratory sample identification | 21-PCCC-0213 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Healdsburg, CA | Transportation Laboratory (TL) Number | C100427 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA or name of Pit) | 91-49-0030 |
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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 | Stock Pile | |
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 |
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No results found. |
Test File Attachments
DIME Test ID: 2021-11-24-34-1 CTM 214-August 2010 (Verified)