Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-06-01-10

Project Information

Project IdentifiersProject ID: 7203
DEA: 05330774
EFIS: 0500020049
DIST-CO-RTE-PM05-SLO-46-40.7/46.3
Award Date05/18/2012
Closeout Date12/16/2016
Work DescriptionCONVERT TWO-LANE HIGHWAY TO FOUR-LANE EXPRESSWAY.
Location DescriptionSAN LUIS OBISPO COUNTY NEAR PASO ROBLES FROM 0.1 MILE EAST OF ALMOND DRIVE TO 0.8 MILE EAST OF MCMILLAN CANYON ROAD
QA Service Level1 (Verified on 10/01/2012)

Sample Information

Sample Taken Date06/01/2015 Sample Unique Key10
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 testing06/17/2015
Sample typeVerification A brief description of the sample3/4 Type A HMA
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byTim Last name of sampler or witnessed byLang
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15ASPH-0285 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHanson Aggregate Transportation Laboratory (TL) NumberC755705A
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)NA
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 JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-06-01-10-1CTM 202-November 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse AggregatesThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory06/17/2015Thomas Stinnett
Yes
06/26/2015