Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2025-08-22-46

Project Information

Project IdentifiersProject ID: 1001219
DEA: 021J8904
EFIS: 0221000006
DIST-CO-RTE-PM02-SHA-5-R30.5/R31.0
Award Date07/02/2025
Closeout DateNot set
Work DescriptionREPLACE PAVEMENT AND PLACE POLYESTER CONCRETE OVERLAY.
Location DescriptionSHASTA COUNTY NEAR O\'BRIEN FROM 0.1 MILE SOUTH OF TUNNEL GULCH VIADUCT TO THE O\'BRIEN REST AREA
QA Service Level1 (Verified on 05/05/2025)

Sample Information

Sample Taken Date08/22/2025 Sample Unique Key46
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 testing08/25/2025
Sample typeAcceptance A brief description of the sampleClass 2 Aggregate Base
The quantity of what the sample constitutesStockpile From where was the sample collectedDistributor
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD80018 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTullis – Crystal Creek Aggregates (Redding, CA) Transportation Laboratory (TL) Number866072
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-45-0021
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 collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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