Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-12-12-1

Project Information

Project IdentifiersProject ID: 209040
DEA: 042A2504
EFIS: 0400000813
DIST-CO-RTE-PM04-SCL-152-0.1/5.2
Award Date05/29/2014
Closeout Date04/14/2021
Work DescriptionROADWAY REALIGNMENT AND CONSTRUCT RETAINING WALLS
Location DescriptionSANTA CLARA COUNTY NEAR GILROY AT VARIOUS LOCATIONS FROM 0.2 MILE NORTH OF BELLA VISTA LANE TO 0.2 MILE EAST OF WATSONVILLE ROAD
QA Service Level1 (Verified on 10/11/2013)

Sample Information

Sample Taken Date12/12/2014 Sample Unique Key1
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 testing01/07/2015
Sample typeAnnual Source Testing A brief description of the sample1x4
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byNilesh Last name of sampler or witnessed byPandya
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15CPCC-0025 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTriangle Rock Los Banos Transportation Laboratory (TL) NumberC385661
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-24-0009
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedstockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-12-12-1-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas Stinnett, CT HQ - Sacramento Aggregate Testing Laboratory01/07/2015Thomas Stinnett
Yes
01/29/2015

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2014-12-12-1-1 CTM 214-August 2010 (Verified)