Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2016-09-21-16

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210859
DEA: 010B3104
EFIS: 0112000115
DIST-CO-RTE-PM01-DN-199-8.7,21.7
Award Date01/04/2016
Closeout Date02/16/2017
Work DescriptionCONSTRUCT BUTTRESSES
Location DescriptionIN DEL NORTE COUNTY NEAR GASQUET AT1.6 MILES NORTH OF MYRTLE CREEK BRIDGE AND ABOUT 8 MILES NORTH OF GASQUET AT 0.4 MILE SOUTH OF PATRICK CREEK BRIDGE
QA Service Level1 (Verified on 09/23/2015)

Sample Information

Sample Taken Date09/21/2016 Sample Unique Key16
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 testing10/25/2016
Sample typeAnnual Source Testing A brief description of the sample1 x 4 PCC Aggregate and Sand
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byBob Last name of sampler or witnessed byRogers
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification16CPCC-0414 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameFreeman Rock and Sand Transportation Laboratory (TL) NumberC795675
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)Freeman Rock and Sand Brookings Oregon
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 Size1 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-09-21-16-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBenjamin LenzCT HQ - Sacramento Aggregate Testing Laboratory12/21/2016Benjamin Lenz
Yes
12/22/2016