Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2022-01-03-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209820
DEA: 04297634
EFIS: 0415000040
COOP: 042548
DIST-CO-RTE-PM04-ALA-84,680-17.9/21
Award Date02/19/2021
Closeout DateNot set
Work DescriptionROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION.
Location DescriptionALAMEDA 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 Level1 (Verified on 11/04/2019)

Sample Information

Sample Taken Date01/03/2022 Sample Unique Key19
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 testing03/21/2022
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 byF. Last name of sampler or witnessed byVega
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification22-PCCF-0040 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Pleasanton Transportation Laboratory (TL) NumberC570868
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)91-01-0009
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 collectedPleasanton Eliot 4403
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
2022-01-03-19-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory04/11/2022Bang Nguyen
Yes
04/15/2022
2022-01-03-19-2CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRyan Kester/ Jay HortonCT HQ - Sacramento Aggregate Testing Laboratory04/15/2022Bang Nguyen
Yes
04/15/2022