Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-12-20-35
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Project Information
| Project Identifiers | Project ID: 209820 DEA: 04297634 EFIS: 0415000040 COOP: 042548 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84,680-17.9/21 |
| Award Date | 02/19/2021 |
| Closeout Date | Not set |
| Work Description | ROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION. |
| Location Description | ALAMEDA COUNTY IN AND NEAR SUNOL, PLEASANTON, AND LIVERMORE ON ROUTE 84 FROM 0.1 MILE EAST OF ROUTE 680 TO 0.1 MILE SOUTH OF RUBY HILL DRIVE AND ON ROUTE 680 FROM 1.2 MILES SOUTH TO 1.8 MILES NORTH OF ROUTE 84 |
| QA Service Level | 1 (Verified on 11/04/2019) |
Sample Information
| Sample Taken Date | 12/20/2021 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 03/21/2022 |
| Sample type | Annual Source Testing | A brief description of the sample | coarse aggregate |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | F. | Last name of sampler or witnessed by | Vega |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | 22-PCCC-0039 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex Pleasanton | Transportation Laboratory (TL) Number | C570867 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-01-0009 |
|---|---|---|---|
| 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 | Pleasanton Eliot 4403 | |
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-20-35-1 CTM 214-August 2010 (Verified)