Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-11-01-50

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215396
DEA: 042K8404
EFIS: 0417000031
DIST-CO-RTE-PM04-SOL-29,80-0.0,0.8/1.6
Award Date03/26/2021
Closeout Date02/16/2024
Work DescriptionHMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location DescriptionSOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
QA Service Level1 (Verified on 01/25/2021)

Sample Information

Sample Taken Date11/01/2021 Sample Unique Key50
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 testing12/21/2021
Sample typeAnnual Source Testing A brief description of the sample1x4 Aggregates
The quantity of what the sample constitutes3-bags individual size From where was the sample collectedSource
First name of sampler or witnessed byplant Last name of sampler or witnessed byplant
Title of samplerQC Lab Tech Telephone number of sampler
Laboratory sample identification21-PCCC-0221 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Capay Transportation Laboratory (TL) NumberC044051
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-57-0014::CAPAY
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 collectedsource
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 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-11-01-50-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBang Nguyen, CT HQ - Sacramento Aggregate Testing Laboratory01/13/2022Bang Nguyen
Yes
01/13/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-11-01-50-1 CTM 214-August 2010 (Verified)