Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2015-11-18-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210369
DEA: 042J2004
DIST-CO-RTE-PM04-SCL-152-30.4/35.2
Award Date05/29/2015
Closeout Date12/22/2017
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HOT MIX ASPHALT.
Location DescriptionSANTA CLARA COUNTY 20 MILES EAST OF GILROY FROM PACHECO CREEK TO SANTA CLARA / MERCED COUNTY LINE
QA Service Level1 (Verified on 09/17/2015)

Sample Information

Sample Taken Date11/18/2015 Sample Unique Key5
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 testing01/21/2016
Sample typeAnnual Source Testing A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byCesar Last name of sampler or witnessed byRamirez
Title of samplerConsultant Telephone number of samplerUnknown
Laboratory sample identification16CPCC-0026 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTriangle Rock Los Banos Transportation Laboratory (TL) Numberc931555
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)91-24-0009
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
2015-11-18-5-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateTom StinnettCT HQ - Sacramento Aggregate Testing Laboratory02/16/2016Benjamin Lenz
Yes
02/25/2016