Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-05-21-8
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Project Information
| Project Identifiers | Project ID: 212996 DEA: 023H1404 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI,SHA-36-0.0/R3.5,0.0/4.0 |
| Award Date | 02/28/2018 |
| Closeout Date | 01/08/2019 |
| Work Description | AC OVERLAY, REPLACE AC SURFACE, GUARDRAIL, SHOULDER BACKING |
| Location Description | SHASTA AND TRINITY COUNTIES FROM TRINITY COUNTY LINE TO 0.4 MILE EAST OF HARRISON GULCH ROAD AND FROM HUMBOLDT COUNTY LINE TO 0.2 MILE EAST OF MAD RIVER ROAD |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 05/21/2018 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 05/22/2018 |
| Sample type | Verification | A brief description of the sample | Combined Treated Virgin Type A Aggregate |
| The quantity of what the sample constitutes | JMF Verification Renewal | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Dave | Last name of sampler or witnessed by | Lockett |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77409 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Tullis, Inc - Northstate Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 002140 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF 17-04-R1 | 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 | L170304 |
| 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 | 3/4 inch |
| The concrete mix design number | JMF 17-04-R1 | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
JMF Information
| Verification ID | JMF3513-2018-34 | Date Created | 09/18/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2018-47 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | L170304 | Authorized Date | 09/28/2018 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-05-21-8-1 AASHTO T27-14 (Verified)