Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-08-07-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210208
DEA: 023E7304
EFIS: 0200020157
DIST-CO-RTE-PM02-SIS-5-68.3
Award Date05/15/2015
Closeout Date03/22/2017
Work DescriptionREPLACE BRIDGE
Location DescriptionSISKIYOU COUNTY ABOUT 19 MILES NORTH OF YREKA AT HILT ROAD OVERCROSSING
QA Service Level1 (Verified on 06/17/2015)

Sample Information

Sample Taken Date08/07/2015 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 testing08/17/2015
Sample typeAcceptance A brief description of the sampleSand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byBob Last name of sampler or witnessed byThompson
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15FPCC-0347 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameMoore Sand and Gravel Transportation Laboratory (TL) NumberC847801B
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 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-08-07-10-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory09/10/2015Thomas Stinnett
Yes
09/10/2015