Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215676 DEA: 020J6404 EFIS: 0219000145
QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-36-R13.6/R14.2
Work Description: A13 AT ROUTE 36 SAFETY
Location Description: IN PLUMAS COUNTY NEAR CHESTER FROM 0.2 MILE WEST OF BAILEY CREEK BRIDGE TO 0.3 MILE EAST OF COUNTY ROAD A-13.
Contractor Name: BALDWIN CONTRACTING COMPANY, INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 SKYWAY, CHICO CA 95928
Resident Engineer: Daniel Gibbs Structure Rep.: Unknown
DIME Sample ID: 2024-07-24-59
TL Number from the TL Form: 692871
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Production Start-Up
Type of Material: Aggregate
Sample Taken Date: 07/24/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/25/2024
The quantity of what the sample constitutes: Production Start Up Evaluation
A brief description of the sample: 2 bags of Combined Lime Treated 1/2-inch Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D79660A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Knife River Construction
Source Identification (SMARA, name of Pit or Job Site): 91-39-0020
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: Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2024-07-24-59-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
Data has not been verified.
