Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2016-06-07-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210946
DEA: 060T5904
EFIS: 0615000155
DIST-CO-RTE-PM06-TUL-137;190-18.2/27.4;26.5/56.6
Award Date01/14/2016
Closeout Date04/24/2018
Work DescriptionPLACE POLYMER ASPHALTIC EMULSION (SEAL COAT).
Location DescriptionNot set
QA Service Level1 (Verified on 10/04/2016)

Sample Information

Sample Taken Date06/07/2016 Sample Unique Key15
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 testing06/14/2016
Sample typeAcceptance A brief description of the sampleSand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byRuiz
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification16FPCC-0246 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameDeer Creek Transportation Laboratory (TL) Numberc983199
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)Unknown
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
2016-06-07-15-1CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandBenjamin LenzCT HQ - Sacramento Aggregate Testing Laboratory06/22/2016Benjamin Lenz
Yes
06/28/2016