DIME - Sample Record for DIME Sample ID 2019-04-29-22

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2019-04-29-22

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Project Information

Project Identifiers	Project ID: 213720 DEA: 024H2004 EFIS: 0218000094
DIST-CO-RTE-PM	02-SHA-89-26.3/29.2
Award Date	12/19/2018
Closeout Date	08/06/2019
Work Description	PAVEMENT OVERLAY
Location Description	SHASTA COUNTY ABOUT 10 MILES NORTH OF BURNEY FROM 0.3 MILE NORTH OF CLARK CREEK ROAD TO LAKE BRITTON BRIDGE
QA Service Level	1 (Verified on 01/04/2019)

Sample Information

Sample Taken Date	04/29/2019	Sample Unique Key	22
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	04/30/2019
Sample type	Verification	A brief description of the sample	Treated 1/2-inch Aggregate
The quantity of what the sample constitutes	JMF Verification	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Cindy	Last name of sampler or witnessed by	Bryant
Title of sampler	TET	Telephone number of sampler
Laboratory sample identification	D77859A	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Shaw Pit Facility	Transportation Laboratory (TL) Number	827787
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name		Bid Item	Not set

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-25-0008::SHAW PIT
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	19-1278.105B
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	1/2 inch
The concrete mix design number	JMF 19-05-S2	Lot number	0
Sublot number	0	Aggregate Mix Number	Not set

JMF Information

Verification ID	JMF3513-2019-65	Date Created	05/31/2019
JMF Submittal ID	JMF3511-22-2019-96	JMF Status	Submittal Authorized For Use
Producer Mix ID	19-1278.105B	Authorized Date	06/07/2019

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2019-04-29-22-1	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Terry McCormick, CT D02 - Redding Northern Regional Laboratory	04/30/2019		Yes	05/31/2019		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-04-29-22-1 AASHTO T27-14 (Verified)