Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2015-11-18-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210215
DEA: 041SS524
EFIS: 0412000543
DIST-CO-RTE-PM04-SCL-280-R2.6
Award Date04/29/2015
Closeout Date08/22/2018
Work DescriptionRECONSTRUCT EMBANKMENT AND ROADWAY.
Location DescriptionSANTA CLARA COUNTY IN SAN JOSE AT MINOR AVENUE UNDERCROSSING
QA Service Level1 (Verified on 03/05/2015)

Sample Information

Sample Taken Date11/18/2015 Sample Unique Key9
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 sample3/8 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 identification16FPCC-0030 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Eliot Transportation Laboratory (TL) NumberC931553
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)91-01-0009
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
2015-11-18-9-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateTom StinnettCT HQ - Sacramento Aggregate Testing Laboratory02/12/2016Benjamin Lenz
Yes
02/25/2016