Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2015-12-28-3
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Project Information
| Project Identifiers | Project ID: 210040 DEA: 04297624 EFIS: 0400020581 COOP: 042558 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84-22.9/25.7 |
| Award Date | 09/30/2015 |
| Closeout Date | 03/12/2020 |
| Work Description | WIDENING AND EXPRESSWAY UPGRADES |
| Location Description | ON ROUTE 84, FROM RUBY HILL DRIVE TO NORTH OF CONCANNON BOULEVARD |
| QA Service Level | 1 (Verified on 11/10/2015) |
Sample Information
| Sample Taken Date | 12/28/2015 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 01/20/2016 |
| Sample type | Annual Source Testing | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Baldev | Last name of sampler or witnessed by | Singh |
| Title of sampler | TET | Telephone number of sampler | Unknown |
| Laboratory sample identification | 16CPCC-0014 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Granite Vernalis | Transportation Laboratory (TL) Number | C726235 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-39-0002::VERNALIS |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-12-28-3-1 CTM 214-August 2010 (Verified)