Sample Record

DIME Sample ID 2018-04-25-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212562
DEA: 024G5504
EFIS: 0214000036
DIST-CO-RTE-PM02-SIS-5-2.7/R11.4
Award Date03/12/2018
Closeout Date10/05/2020
Work DescriptionRECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location DescriptionSISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
QA Service Level1 (Verified on 04/04/2018)

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

Sample Information

Sample Taken Date04/25/2018 Sample Unique Key17
Date that the sample was received by the laboratory/organization performing the testing05/29/2018 Sample typeVerification
A brief description of the sampleUntreated Aggregate The quantity of what the sample constitutes1 box 4 small bags in side
From where was the sample collectedSource First name of sampler or witnessed byDerrick
Last name of sampler or witnessed byCurry Title of samplerTech
Telephone number of samplerUnknown Laboratory sample identificationD77341
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameJt Shea-Fawndale Plant
Transportation Laboratory (TL) NumberC001555 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-45-0017
The fabricator's/manufacturer's product name for the sampleJt Shea The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedFawndale Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set
HMA PayNo

JMF Information

Verification IDJMF3513-2020-94 Date Created02/07/2020
JMF Submittal IDJMF3511-22-2020-137 JMF StatusSubmittal Authorized For Use
Producer Mix ID18-1001.305-23.6%,_(modified) Authorized Date06/11/2019

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2018-04-25-17-1AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Bang Nguyen, CT HQ - Sacramento Aggregate Testing Laboratory07/06/2018
Yes
07/06/2018Public - Test Data Visible
2018-04-25-17-2AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Bang Nguyen, CT HQ - Sacramento Aggregate Testing Laboratory07/06/2018
Yes
07/06/2018Public - Test Data Visible

Sample File Attachments

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Test File Attachments


DIME Test ID: 2018-04-25-17-1 AASHTO T104-99r16 (Verified)
DIME Test ID: 2018-04-25-17-2 AASHTO T104-99r16 (Verified)