Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-12-08-3

Project Information

Project IdentifiersProject ID: 209135
DEA: 04235844
EFIS: 0400000684
COOP: 042493
DIST-CO-RTE-PM04-SM-101-16.3/17.06
Award Date06/25/2014
Closeout Date12/17/2019
Work DescriptionRECONSTRUCT OVERCROSSING, RETAINING WALLS, GROUND IMPROVEMENT,
Location DescriptionBURLINGAME
QA Service Level1 (Verified on 10/03/2013)

Sample Information

Sample Taken Date12/08/2014 Sample Unique Key3
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 testing01/20/2015
Sample typeAnnual Source Testing A brief description of the sample1x4 PCC Aggregates
The quantity of what the sample constitutes1 From where was the sample collectedSource
First name of sampler or witnessed byMike Last name of sampler or witnessed byWiller
Title of samplerQC Telephone number of samplerUnknown
Laboratory sample identification15FPCC-0040 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHanson Orca Transportation Laboratory (TL) NumberC911204
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Orca
The fabricator's/manufacturer's product name for the sampleOrca The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedPlant
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 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-12-08-3-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateEd PerezCT HQ - Sacramento Aggregate Testing Laboratory02/03/2015Ed Perez
Yes
02/06/2015