Sample Record for 2024-06-17-109
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212778 DEA: 023H6504 EFIS: 0218000004
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-5-25.2/38.6
Work Description: HMA, THERMOPLASTIC TRAFFIC STRIPE, COLD PLANE AC PAVEMENT, GUARDRAIL.
Location Description: SISKIYOU COUNTY ABOUT 5.0 MILES NORTH OF WEED FROM NORTH EDGEWOOD OVERHEAD TO 0.2 MILE NORTH OF GRENADA OVERCROSSING
Contractor Name: J.F. SHEA CONSTRUCTION, INC.
Contractor Address: 17400 CLEAR CREEK RD, REDDING CA 96001
Resident Engineer: Austin Henry Structure Rep.: Alejandro Trochez
Sample Information
DIME Sample ID: 2024-06-17-109
TL Number from the TL Form: 899700
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/17/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2024
The quantity of what the sample constitutes: 50K Milestone 1 Bag RAP
A brief description of the sample: 1 bag of Combined RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D79580B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: J.F. Shea Construction — Fawndale Rock and Asphalt (Redding, CA)
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-45-0017::Fawndale Rock Quarry (Redding, CA)
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Manufacturer
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2024-06-17-109-1 | AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity) | 06/27/2024 | Not scheduled | Colt Sweeny | CT D02 - Redding Northern Regional Laboratory | | |
107683
