Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2014-12-17-3
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Project Information
| Project Identifiers | Project ID: 7531 DEA: 042908C4 EFIS: 0400021248 COOP: 042397A3 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-580-R8.4/R14.6 |
| Award Date | 11/20/2012 |
| Closeout Date | 09/30/2016 |
| Work Description | ROADWAY WIDENING AND REHABILITATION. |
| Location Description | ALAMEDA COUNTY IN LIVERMORE FROM 0.1 MILE WEST OF GREENVILLE ROAD UNDERCROSSING TO 0.5 MILE WEST OF 84/580 SEPARATION |
| QA Service Level | 1 (Verified on 09/24/2012) |
Sample Information
| Sample Taken Date | 12/17/2014 | 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 | 02/06/2015 |
| Sample type | Annual Source Testing | A brief description of the sample | 1x4 |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Eddie | Last name of sampler or witnessed by | Dike |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 15CPCC-0069 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | C738997 |
| 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) | 91-39-0021 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | 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: 2014-12-17-3-1 CTM 214-August 2010 (Verified)