Sample Record

DIME Sample ID 2019-01-29-16

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout Date08/16/2023
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

Sample Information

Sample Taken Date01/29/2019 Sample Unique Key16
Date that the sample was received by the laboratory/organization performing the testing03/29/2019 Sample typeVerification
A brief description of the sample1/2-inch Untreated Aggregate The quantity of what the sample constitutesJMF
From where was the sample collectedSource First name of sampler or witnessed byTed
Last name of sampler or witnessed byKensey Title of sampler
Telephone number of sampler Laboratory sample identificationD77809A
Linked DIME Sample ID The fabricator/manufacturer/facility nameFawndale Rock Quarry
Transportation Laboratory (TL) Number001576 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-45-0017::FAWNDALE ROCK QUARRY
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedUntreated Stockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 19-03-S1 Lot number0
Sublot number0 Aggregate Mix NumberNot set

Submitted Tests

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