Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2019-03-07-16
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212816 DEA: 020H6304 EFIS: 0215000063 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-139-6.2/7.3 |
| Award Date | 06/29/2018 |
| Closeout Date | 12/04/2019 |
| Work Description | ROADWAY EXCAVATION, AGGREGATE BASE, HOT MIX ASPHALT, GUARDRAIL |
| Location Description | LASSEN COUNTY ABOUT 6 MILES NORTH OF SUSANVILLE FROM 1.0 MILE SOUTH TO 0.1 MILE SOUTH OF ANTELOPE RADIO STREET |
| QA Service Level | 1 (Verified on 01/17/2018) |
Sample Information
| Sample Taken Date | 03/07/2019 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 03/07/2019 |
| Sample type | Quality Control | A brief description of the sample | Lime |
| The quantity of what the sample constitutes | Mix Design | From where was the sample collected | Source |
| First name of sampler or witnessed by | KRC | Last name of sampler or witnessed by | KRC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Lhoist North America | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Antistrip Additive | Antistrip Type | Lime - hydrated lime |
|---|---|---|---|
| Antistrip Additive Mix Number | Not set |
JMF Information
| HMA Design ID | JMF3512-2019-87-OR-22251000 | Date Created | 04/09/2019 |
|---|---|---|---|
| Submittal | JMF3511-22-2019-79 Submittal Rejected For Use| JMF3513-2019-53 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-03-07-16-1 AASHTO T27-14 (Verified)
