Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2019-04-22-7
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Project Information
| Project Identifiers | Project ID: 213888 DEA: 024H2704 EFIS: 0218000101 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-34.0/43.2 |
| Award Date | 03/21/2019 |
| Closeout Date | 12/04/2019 |
| Work Description | PLACE HMA (TYPE A) OVERLAY. |
| Location Description | SHASTA COUNTY AT AND NEAR VIOLA FROM 0.2 MILE EAST OF MILL CREEK ROAD TO 0.8 MILE EAST OF DEER FLAT ROAD |
| QA Service Level | 1 (Verified on 04/03/2019) |
Sample Information
| Sample Taken Date | 04/22/2019 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 04/22/2019 |
| Sample type | Verification | A brief description of the sample | Treated Virgin 1/2-inch Type A Aggregate |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Ortiz |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D77840A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Northstate Asphalt | Transportation Laboratory (TL) Number | 736650 |
| 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) | 91-45-0057::SHASTA RANCH AGGREGATES |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | L190860 |
| 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 19-11-S1 | Lot number | 0 |
| Sublot number | 0 | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2019-70 | Date Created | 06/24/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2019-102 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | L190860 | Authorized Date | 06/28/2019 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-22-7-1 AASHTO T27-14 (Verified)