Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-11-09-52

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214114
DEA: 040A5394
EFIS: 0418000244
DIST-CO-RTE-PM04-SOL-80,12-11.4/12.8, 2.1/2.8
Award DateNot set
Closeout Date02/24/2023
Work DescriptionWiden EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc.
Location DescriptionI-80/I-680/Route 12 Interchange
QA Service Level1 (Verified on 04/23/2019)

Sample Information

Sample Taken Date11/09/2021 Sample Unique Key52
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 sampleFine Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byPlant Last name of sampler or witnessed byPlant
Title of samplerQC Lab Telephone number of sampler
Laboratory sample identification21-PCCF-0220 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Cache Creek Plant Transportation Laboratory (TL) NumberC044054
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)91-57-0008
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 Sizefine
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
2021-11-09-52-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandBang 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: 2021-11-09-52-1 CTM 213-December 2012 (Verified)