Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-08-20-23

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210242
DEA: 051C9304
EFIS: 0513000013
DIST-CO-RTE-PM05-MON-101-R21.9/87.0
Award Date04/15/2015
Closeout Date06/01/2016
Work DescriptionSEAL BRIDGE DECKS WITH METHACRYLATE OR POLYESTER.
Location DescriptionMONTEREY COUNTY AT VARIOUS LOCATIONS FROM SAN ARDO UNDERCROSSING TO ALISAL ROAD UNDERCROSSING
QA Service Level1 (Verified on 06/12/2015)

Sample Information

Sample Taken Date08/20/2015 Sample Unique Key23
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 testing09/04/2015
Sample typeAcceptance A brief description of the sample3/4 x 4
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byA Last name of sampler or witnessed byAlvarez
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15CPCC-0390 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameAr Wilson Aromas Transportation Laboratory (TL) NumberC868215
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)91-35-0012::A.R. WILSON QUARRY
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
2015-08-20-23-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory09/30/2015Thomas Stinnett
Yes
09/30/2015