DIME - Sample Record for DIME Sample ID 2014-12-15-4

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Sample Record

Owner Lab

CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-12-15-4

Project Information

Project Identifiers	Project ID: 209186 DEA: 04153304 EFIS: 0400020304
DIST-CO-RTE-PM	04-SCL-101-0.0/26.7
Award Date	04/02/2014
Closeout Date	08/22/2018
Work Description	INSTALL TOS, RAMP METERING AND RAMP WIDENING.
Location Description	SANTA CLARA COUNTY AT VARIOUS LOCATIONS FROM SAN BENITO COUNTY LINE TO ROUTE 85/101 INTERCHANGE
QA Service Level	1 (Verified on 04/11/2014)

Sample Information

Sample Taken Date	12/15/2014	Sample Unique Key	4
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	01/07/2015
Sample type	Annual Source Testing	A brief description of the sample	Half inch
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Source
First name of sampler or witnessed by	Cesar	Last name of sampler or witnessed by	William
Title of sampler	Unknown	Telephone number of sampler	Unknown
Laboratory sample identification	15CPCC-0023	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Cemex Orca	Transportation Laboratory (TL) Number	C810917
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier	Not set
Structure name	Not set

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	07 Canada 0Q 03
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	stockpile
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2014-12-15-4-1	CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate	Thomas Stinnett, CT HQ - Sacramento Aggregate Testing Laboratory	01/07/2015	Thomas Stinnett	Yes	01/29/2015

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2014-12-15-4-1 CTM 214-August 2010 (Verified)