Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2014-11-13-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 7463 DEA: 042640U4 EFIS: 0412000195 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-0.9/3.6 |
| Award Date | 11/02/2012 |
| Closeout Date | 06/03/2020 |
| Work Description | CONSTRUCT PETALUMA BLVD SOUTH INTERCHANGE, REPLACE PETALUMA RIVER BR |
| Location Description | SONOMA COUNTY IN AND NEAR PETALUMA FROM GUNN DRIVE TO ROUTE 101/116 SEPARATION AND OVERHEAD |
| QA Service Level | 1 (Verified on 09/11/2012) |
Sample Information
| Sample Taken Date | 11/13/2014 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 01/23/2015 |
| Sample type | Annual Source Testing | A brief description of the sample | 1x4 |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
| First name of sampler or witnessed by | QC | Last name of sampler or witnessed by | QC |
| Title of sampler | QC | Telephone number of sampler | Unknown |
| Laboratory sample identification | 15-0047 9736-61C | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Syar Lake Herman | Transportation Laboratory (TL) Number | C917850 |
| 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) | 91-48-0002::LAKE HERMAN QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | PCC Aggregate | 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2014-11-13-5-1 CTM 214-August 2010 (Verified)