Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2017-10-06-6
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Project Information
| Project Identifiers | Project ID: 211954 DEA: 022H4804 EFIS: 0216000106 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-36-R3.5/R9.2 |
| Award Date | 02/27/2017 |
| Closeout Date | 04/02/2021 |
| Work Description | COLD IN-PLACE RECYCLE WITH HOT MIX ASPHALT OVERLAY AND GUARDRAIL |
| Location Description | TRINITY COUNTY NEAR MAD RIVER FROM 0.1 MILE EAST OF MAD RIVER ROAD TO 0.1 MILE WEST OF SOUTH FORK MOUNTAIN ROAD |
| QA Service Level | 1 (Verified on 07/27/2017) |
Sample Information
| Sample Taken Date | 10/06/2017 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 10/06/2017 |
| Sample type | Department Acceptance | A brief description of the sample | 1/2 Cold Feed and Rap |
| The quantity of what the sample constitutes | 1 bag each bin 40 lbs each | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Sturges |
| Title of sampler | PEI Tester | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77199 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Tullis Northstate Asphalt | Transportation Laboratory (TL) Number | T101 C852081 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | T101 C852081 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Cold feed and rap | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||