Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2016-09-21-16
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Project Information
| Project Identifiers | Project ID: 210859 DEA: 010B3104 EFIS: 0112000115 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-199-8.7,21.7 |
| Award Date | 01/04/2016 |
| Closeout Date | 02/16/2017 |
| Work Description | CONSTRUCT BUTTRESSES |
| Location Description | IN 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 Level | 1 (Verified on 09/23/2015) |
Sample Information
| Sample Taken Date | 09/21/2016 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 testing | 10/25/2016 |
| Sample type | Annual Source Testing | A brief description of the sample | 1 x 4 PCC Aggregate and Sand |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Bob | Last name of sampler or witnessed by | Rogers |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 16CPCC-0414 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Freeman Rock and Sand | Transportation Laboratory (TL) Number | C795675 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Freeman Rock and Sand Brookings Oregon |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-09-21-16-1 CTM 214-August 2010 (Verified)