Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2015-11-30-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7463
DEA: 042640U4
EFIS: 0412000195
DIST-CO-RTE-PM04-SON-101-0.9/3.6
Award Date11/01/2012
Closeout Date06/03/2020
Work DescriptionCONSTRUCT PETALUMA BLVD SOUTH INTERCHANGE, REPLACE PETALUMA RIVER BR
Location DescriptionSONOMA COUNTY IN AND NEAR PETALUMA FROM GUNN DRIVE TO ROUTE 101/116 SEPARATION AND OVERHEAD
QA Service Level1 (Verified on 09/11/2012)

Sample Information

Sample Taken Date11/30/2015 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 testing02/16/2016
Sample typeAnnual Source Testing A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes5 bags From where was the sample collectedSource
First name of sampler or witnessed byPlant Last name of sampler or witnessed byQuarry QC Tech
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification16CPCC-0071 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameSyar Lake Herman Transportation Laboratory (TL) Numberc862735
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)91-48-0002
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
2015-11-30-9-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateTom StinnettCT HQ - Sacramento Aggregate Testing Laboratory03/21/2016Benjamin Lenz
Yes
03/24/2016