Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-05-13-2
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Project Information
| Project Identifiers | Project ID: 212574 DEA: 02368414 EFIS: 0215000066 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-R4.6/R6.4 |
| Award Date | 10/13/2017 |
| Closeout Date | 11/24/2021 |
| Work Description | CONSTRUCT OVERCROSSING, WIDEN WITH HMA AND AB, AND OVERLAY WITH HMA |
| Location Description | SHASTA COUNTY NEAR PALO CEDRO FROM CLOUGH CREEK BRIDGE TO 0.6 MILE WEST OF DESCHUTES ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/28/2017) |
Sample Information
| Sample Taken Date | 05/13/2018 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 05/14/2018 |
| Sample type | Verification | A brief description of the sample | Cold Feed, Treated Virgin 1/2-inch Type A |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Ortiz |
| Title of sampler | TET | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77368A | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Tullis, Inc - Northstate Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 896274 |
| 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 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Treated Virgin 1/2-inch Type A Aggregate | The fabricator/manufacturer designation for the sample | L170860 |
| The plant number | Unknown | A detailed description of where the material sample was collected | Plant Sampler |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | JMF 18-01-S3 | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
JMF Information
| Verification ID | JMF3513-2018-22 | Date Created | 07/16/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2018-37 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | L170860 | Authorized Date | 06/25/2018 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-05-13-2-1 AASHTO T27-14 (Verified)