Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2014-12-08-3
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 209135 DEA: 04235844 EFIS: 0400000684 COOP: 042493 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-16.3/17.06 |
| Award Date | 06/25/2014 |
| Closeout Date | 12/17/2019 |
| Work Description | RECONSTRUCT OVERCROSSING, RETAINING WALLS, GROUND IMPROVEMENT, |
| Location Description | BURLINGAME |
| QA Service Level | 1 (Verified on 10/03/2013) |
Sample Information
| Sample Taken Date | 12/08/2014 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 01/20/2015 |
| Sample type | Annual Source Testing | A brief description of the sample | 1x4 PCC Aggregates |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Mike | Last name of sampler or witnessed by | Willer |
| Title of sampler | QC | Telephone number of sampler | Unknown |
| Laboratory sample identification | 15FPCC-0040 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Hanson Orca | Transportation Laboratory (TL) Number | C911204 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Orca |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Orca | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Plant |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2014-12-08-3-1 CTM 214-August 2010 (Verified)