Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-04-23-11

Project Information

Project IdentifiersProject ID: 209676
DEA: 023E7904
EFIS: 0200020151
DIST-CO-RTE-PM02-TRI-299-12.3/12.9
Award Date09/24/2014
Closeout Date11/29/2017
Work DescriptionCollins Bar Sidehill Viaduct
Location DescriptionTrinity County
QA Service Level1 (Verified on 06/20/2014)

Sample Information

Sample Taken Date04/23/2015 Sample Unique Key11
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 testing06/08/2015
Sample typeVerification A brief description of the sample3/4
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byNicole Last name of sampler or witnessed byMallory
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15ASPH-0272 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJF Shea Construction Transportation Laboratory (TL) NumberC847788A
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)91-45-0017
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 collected Stockpile
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 JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-04-23-11-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory06/08/2015Thomas Stinnett
Yes
06/22/2015