Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-12-11-1

Project Information

Project IdentifiersProject ID: 7531
DEA: 042908C4
EFIS: 0400021248
COOP: 042397A3
DIST-CO-RTE-PM04-ALA-580-R8.4/R14.6
Award Date11/20/2012
Closeout Date09/30/2016
Work DescriptionROADWAY WIDENING AND REHABILITATION.
Location DescriptionALAMEDA COUNTY IN LIVERMORE FROM 0.1 MILE WEST OF GREENVILLE ROAD UNDERCROSSING TO 0.5 MILE WEST OF 84/580 SEPARATION
QA Service Level1 (Verified on 09/24/2012)

Sample Information

Sample Taken Date12/11/2015 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 testing02/06/2015
Sample typeAnnual Source Testing A brief description of the samplePCC Fine Aggregate
The quantity of what the sample constitutes1 From where was the sample collectedSource
First name of sampler or witnessed byCarlos Last name of sampler or witnessed byEscobar
Title of samplerLab Manager Telephone number of samplerUnknown
Laboratory sample identification15-0068 1931-32C Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameGranite Vernalis Transportation Laboratory (TL) NumberC738994
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)91-39-0002::VERNALIS
The fabricator's/manufacturer's product name for the samplePCC Fine Agg The fabricator/manufacturer designation for the sampleUnknown
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 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-12-11-1-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandEd PerezCT HQ - Sacramento Aggregate Testing Laboratory02/10/2015Ed Perez
Yes
02/13/2015

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2015-12-11-1-1 CTM 213-December 2012 (Verified)