Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-12-27-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215255
DEA: 040A7714
EFIS: 0420000287
DIST-CO-RTE-PM04-ALA-80-6.4-6.6
Award Date05/03/2021
Closeout DateNot set
Work DescriptionCONSTRUCT PEDESTRIAN OVERCROSSING BRIDGE AND RETAINING WALLS. GILMAN INTERCHANGE IMPROVEMENTS
Location DescriptionALAMEDA COUNTY IN BERKELEY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.1 MILE SOUTH OF GILMAN STREET UNDERCROSSING
QA Service Level1 (Verified on 12/07/2020)

Sample Information

Sample Taken Date12/27/2021 Sample Unique Key10
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 testing01/21/2022
Sample typeAnnual Source Testing A brief description of the sample1x4 coarse aggregate
The quantity of what the sample constitutes4-bags individual size From where was the sample collectedSource
First name of sampler or witnessed byPescador Last name of sampler or witnessed byJulio
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification22-PCCC-0007 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Clayton Transportation Laboratory (TL) NumberC873349
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)91-07-0004
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
2021-12-27-10-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRyan Kester/ Jay HortonCT HQ - Sacramento Aggregate Testing Laboratory02/09/2022Bang Nguyen
Yes
02/10/2022