Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-02-27-13
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212679 DEA: 023E7204 EFIS: 0200020154 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-36-42.1/46.0 |
| Award Date | 12/18/2017 |
| Closeout Date | 08/07/2019 |
| Work Description | COLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK. |
| Location Description | TEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD |
| QA Service Level | 1 (Verified on 05/24/2018) |
Sample Information
| Sample Taken Date | 02/27/2018 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 02/27/2018 |
| Sample type | Verification | A brief description of the sample | Virgin 1/2-inch Type A |
| The quantity of what the sample constitutes | JMF | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cheryl | Last name of sampler or witnessed by | Abraham |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77291A | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Tullis, Inc - Northstate Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 852086 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0057::SHASTA RANCH AGGREGATES |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Cold Feed |
| 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 |
| HMA Pay | No |
JMF Information
| Verification ID | JMF3513-2018-19 | Date Created | 06/20/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2018-34 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | L170860 | Rejected Date | 08/19/2024 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-02-27-13-1 AASHTO T27-14 (Verified)