Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2015-12-16-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209792
DEA: 042G8604
EFIS: 0412000009
DIST-CO-RTE-PM04-ALA-580-R33.4
Award Date08/31/2015
Closeout Date12/21/2017
Work DescriptionCONSTRUCT RETAINING WALL, PLANTING, AND MODIFY LIGHTING.
Location DescriptionALAMEDA COUNTY IN SAN LEANDRO AT BENDICT DRIVE OFF-RAMP
QA Service Level1 (Verified on 11/26/2014)

Sample Information

Sample Taken Date12/16/2015 Sample Unique Key4
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 testing01/12/2016
Sample typeAnnual Source Testing A brief description of the sample Sand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byBaldev Last name of sampler or witnessed bySingh
Title of samplerTET Telephone number of sampler510-376-8109
Laboratory sample identificationAG160006 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTeichert Vernalis Transportation Laboratory (TL) Numberc726234
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)91-39-0021
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
2015-12-16-4-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandTom StinnettCT HQ - Sacramento Aggregate Testing Laboratory01/12/2016Benjamin Lenz
Yes
02/25/2016