Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-11-13-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210217
DEA: 051A7204
EFIS: 0512000012
DIST-CO-RTE-PM05-SB-101-21.0/27.1
Award Date05/12/2015
Closeout Date02/01/2018
Work DescriptionCOLD PLANE AND OVERLAY EXISTING ROADBED WITH RHMA-G.
Location DescriptionSANTA BARBARA COUNTY IN AND NEAR GOLETA FROM MARIA YGNACIO CREEK BRIDGE TO 0.2 MILE NORTH OF CATHEDRAL OAKS OVERCROSSING
QA Service Level1 (Verified on 06/15/2015)

Sample Information

Sample Taken Date11/13/2015 Sample Unique Key6
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 testing12/21/2015
Sample typeAcceptance A brief description of the sample1/2
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byDH Last name of sampler or witnessed byRamirez
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15CPCC-0458 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCal Portland Garey Plant Transportation Laboratory (TL) NumberC755396
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)91-42-0014
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
2015-11-13-6-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas StinnettCT HQ - Sacramento Aggregate Testing Laboratory12/21/2015Thomas Stinnett
Yes
12/21/2015