Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2015-12-23-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210794
DEA: 062HT104
EFIS: 0612000287
DIST-CO-RTE-PM06-FRE-99-23.5/26.7
Award Date06/30/2016
Closeout Date09/16/2020
Work Description(Alternative Delivery) Realign Freeway CONTACT SMR PRIOR TO PERFORMING ANY TESTING OR INSPECTION. CMGC PROJECT. Realign Route 99 between Ashlan Avenue and Olive Avenue to accommodate the High Speed Train (HST).
Location DescriptionState Highway 99 in Fresno (Fresno County) from 0.2 miles North of Olive Ave over-crossing to 0.2 miles North of Ashlan Ave over-crossing.
QA Service Level1 (Verified on 10/01/2015)

Sample Information

Sample Taken Date12/23/2015 Sample Unique Key13
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 testing04/05/2016
Sample typeAnnual Source Testing A brief description of the sampleFine PCC Aggregate
The quantity of what the sample constitutes8 Bags From where was the sample collectedSource
First name of sampler or witnessed byMike Last name of sampler or witnessed byHoldridge
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification16FPCC-0170 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameVulcan - Triangle Rock Los Banos Transportation Laboratory (TL) Numberc812327
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
2015-12-23-13-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandTom StinnettCT HQ - Sacramento Aggregate Testing Laboratory04/14/2016Benjamin Lenz
Yes
04/14/2016