Sample Record

DIME Sample ID 2017-07-26-16

Project Information

Project IdentifiersProject ID: 211852
DEA: 022H3704
EFIS: 0216000079
DIST-CO-RTE-PM02-SHA-151-0.0/5.5
Award Date01/03/2017
Closeout Date11/29/2017
Work DescriptionASPHALT-RUBBER CHIP SEAL, REPLACE AC SURFACING, STRIPING
Location DescriptionSHASTA COUNTY IN AND NEAR SHASTA LAKE FROM SHASTA DAM TO CORAM UNDERPASS
QA Service Level1 (Verified on 02/15/2017)

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

Sample Information

Sample Taken Date07/26/2017 Sample Unique Key16
Date that the sample was received by the laboratory/organization performing the testing08/08/2017 Sample typeDepartment Acceptance
A brief description of the sample9.5mm Chips The quantity of what the sample constitutes1 bags 40lbs
From where was the sample collectedManufacturer First name of sampler or witnessed byJoe
Last name of sampler or witnessed bySturges Title of samplerPEI Tester
Telephone number of samplerUnknown Laboratory sample identificationD77101
Linked DIME Sample IDD77101 The fabricator/manufacturer/facility nameTullis Northstate Asphalt
Transportation Laboratory (TL) NumberT101 C896263 Inspector Lot Number from the Transportation Laboratory (TL) FormT101 C896263
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)unknown
The fabricator's/manufacturer's product name for the sample Chips The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedPlant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Submitted Tests

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