Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-11-24-35

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215486
DEA: 040A0204
EFIS: 0400000129
DIST-CO-RTE-PM04-SON-1-15-15.7
Award DateNot set
Closeout DateNot set
Work DescriptionConstruct roadway and bridge with structural concrete and CIDH piling
Location DescriptionDistrict-County-Route-Post Mile: 04-Son-1-R15.0/R15.7
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date11/24/2021 Sample Unique Key35
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 testing12/16/2021
Sample typeAnnual Source Testing A brief description of the sampleFine Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byNick Last name of sampler or witnessed byHall
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification21-PCCF-0214 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHealdsburg, CA Transportation Laboratory (TL) NumberC100425
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)91-49-0030
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 collectedStock Pile
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
2021-11-24-35-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandJay HortonCT HQ - Sacramento Aggregate Testing Laboratory12/20/2021Bang Nguyen
Yes
01/03/2022
2021-11-24-35-2CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRK/JHCT HQ - Sacramento Aggregate Testing Laboratory01/03/2022Bang Nguyen
Yes
01/03/2022