Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2023-03-13-34
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Project Information
| Project Identifiers | Project ID: 214986 DEA: 041J9704 EFIS: 0414000404 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-17-2.8/13.94 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PAVING WITH RHMA, COLD PLANE AC, AND INSTALL CULVERT. |
| Location Description | SANTA CLARA COUNTY IN AND NEAR LOS GATOS, CAMPBELL AND SAN JOSE FROM HEBARD ROAD TO ROUTE 17/280 SEPARATION |
| QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
| Sample Taken Date | 03/13/2023 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 testing | 05/25/2023 |
| Sample type | Annual Source Testing | A brief description of the sample | 3/8" Coarse Aggregate |
| The quantity of what the sample constitutes | 1 bag coarse aggregate | From where was the sample collected | Source |
| First name of sampler or witnessed by | Fernando | Last name of sampler or witnessed by | Vega |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | 23-ASC-0093 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Rock Aromas | Transportation Laboratory (TL) Number | C927719 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-35-0012 |
|---|---|---|---|
| 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 collected | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-03-13-34-1 CTM 214-August 2010 (Verified)