Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-12-03-1

Project Information

Project IdentifiersProject ID: 7566
DEA: 042640K4
EFIS: 0412000406
COOP: 0412458
DIST-CO-RTE-PM04---
Award Date11/02/2012
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date12/03/2014 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 testing01/20/2015
Sample typeAnnual Source Testing A brief description of the sampleFine PCC Aggregate
The quantity of what the sample constitutes1 From where was the sample collectedSource
First name of sampler or witnessed byPlant Last name of sampler or witnessed byPlant
Title of samplerQC Telephone number of samplerUnknown
Laboratory sample identificationAG150045 9735-50C Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameBodean Mark West Quarry Transportation Laboratory (TL) NumberC917319
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-49-0032
The fabricator's/manufacturer's product name for the sampleFine PCC Agg The fabricator/manufacturer designation for the sampleFine PCC Agg
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 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-12-03-1-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory02/05/2015Thomas Stinnett
Yes
03/03/2015
2014-12-03-1-2CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandEd PerezCT HQ - Sacramento Aggregate Testing Laboratory01/28/2015Ed Perez
Yes
02/06/2015