Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2022-12-05-70

Project Information

Project IdentifiersProject ID: 993776
DEA: 040J3004
EFIS: 0413000433
DIST-CO-RTE-PM04-SON-1-26.7/27.1
Award Date07/08/2022
Closeout DateNot set
Work DescriptionCONSTRUCTING RETAINING WALL AND CONFINEMENT SYSTEM TO RESTORE SLIPOUT.
Location DescriptionSONOMA COUNTY NEAR JENNER FROM 0.3 MILE TO 0.7 MILE NORTH OF MEYERS GRADE ROAD
QA Service Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date12/05/2022 Sample Unique Key70
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 testing12/05/2022
Sample typeAnnual Source Testing A brief description of the sample1/2 x 4 PCC Aggregate
The quantity of what the sample constitutes6 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byValdez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCanyon Rock Quarry Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-49-0004
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-12-05-70-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesCody Cordero, CT D04 - Petaluma Field Laboratory12/07/2022Anthony Valdez
Yes
05/04/2023
2022-12-05-70-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Anthony Valdez, CT D04 - Petaluma Field Laboratory05/04/2023Anthony Valdez
Yes
05/04/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-12-05-70-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-12-05-70-2 CTM 227-December 2014 (Verified)