Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-12-17-7

Project Information

Project IdentifiersProject ID: 208852
DEA: 040A5344
EFIS: 0400021131
COOP: 042491
DIST-CO-RTE-PM04-SOL-80,80-R11.4/13.0
Award Date03/19/2014
Closeout Date10/12/2018
Work DescriptionREALIGN I-680 TO CONNECT DIRECTLY WITH THE I-80/SR-12 INTERCHANGE.
Location DescriptionIN SOLANO COUNTY NEAR FAIRFIELD.
QA Service Level1 (Verified on 10/17/2013)

Sample Information

Sample Taken Date12/17/2014 Sample Unique Key7
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 testing03/11/2015
Sample typeAnnual Source Testing A brief description of the sample3/8
The quantity of what the sample constitutes1 bag From where was the sample collectedJob Site
First name of sampler or witnessed byRyan Last name of sampler or witnessed byStiltz
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15CPCC-0152 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTeichert Esparto Transportation Laboratory (TL) NumberC752219
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-57-0011
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 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-12-17-7-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory03/11/2015Thomas Stinnett
Yes
04/13/2015