Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-12-22-22

Project Information

Project IdentifiersProject ID: 210673
DEA: 042640F4
EFIS: 0400020132
COOP: 042308A3
DIST-CO-RTE-PM04-SON--
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date12/22/2021 Sample Unique Key22
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 samplecoarse aggregate
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byNick Last name of sampler or witnessed byHall
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification22-PCCC-0044 Linked DIME Sample ID
The fabricator/manufacturer/facility nameLake Herman Quarry Transportation Laboratory (TL) Number02
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)91-48-0002
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 collectedQuarry Stock Pile
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 NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-12-22-22-1CTM 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

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-12-22-22-1 CTM 214-August 2010 (Verified)