Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-12-17-4

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 Date12/17/2014 Sample Unique Key4
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 samplethree eighths pea gravel
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byEddie Last name of sampler or witnessed byDike
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15CPCC-0070 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTeichert Vernalis Transportation Laboratory (TL) NumberC738998
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-39-0021
The fabricator's/manufacturer's product name for the sampleUnknown 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 Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-12-17-4-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas Stinnett, CT HQ - Sacramento Aggregate Testing Laboratory02/06/2015Thomas Stinnett
Yes
03/06/2015

Sample File Attachments

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Test File Attachments


DIME Test ID: 2014-12-17-4-1 CTM 214-August 2010 (Verified)