Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-12-13-2

Project Information

Project IdentifiersProject ID: 7796
DEA: 04014084
EFIS: 0412000666
DIST-CO-RTE-PM04-ALA-80-2.2
Award Date03/13/2013
Closeout Date08/20/2018
Work DescriptionCONSTRUCT ROADWAY, BUILDINGS, PARKING LOTS, AND LIGHTING SYSTEM
Location DescriptionALAMEDA COUNTY AT THE SAN FRANCISCO - OAKLAND BAY BRIDGE MAINTENANCE YARD
QA Service Level1 (Verified on 12/10/2012)

Sample Information

Sample Taken Date12/13/2014 Sample Unique Key2
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 testing04/16/2015
Sample typeAnnual Source Testing A brief description of the sample1x4
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byMahentesh Last name of sampler or witnessed byAnigol
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15CPCC-0211 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Clayton Transportation Laboratory (TL) NumberC863733
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)91-07-0004
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
2014-12-13-2-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory04/16/2015Thomas Stinnett
Yes
05/07/2015