Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-04-03-15
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214516 DEA: 024H2404 EFIS: 0218000098 |
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DIST-CO-RTE-PM | 02-TRI-3-32.0/38.0,53.7/63.8 |
Award Date | 12/23/2019 |
Closeout Date | 02/18/2021 |
Work Description | PLACE HMA (TYPE A) OVERLAY, SHOULDER BACKING, AND TRAFFIC STRIPE. |
Location Description | TRINITY COUNTY NEAR WEAVERVILLE FROM 0.4 MILE NORTH OF BROWNS RANCH ROAD TO 0.1 MILE NORTH OF RUSH CREEK ROAD AND FROM EAST FORK STUART BRIDGE TO 2.4 MILES NORTH OF EL DORADO WAY |
QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
Sample Taken Date | 04/03/2020 | Sample Unique Key | 15 |
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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 | 04/03/2020 |
Sample type | Verification | A brief description of the sample | 3/8-inch Type A Untreated Virgin 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 | Telephone number of sampler | ||
Laboratory sample identification | D78371A | Linked DIME Sample ID | 2020-04-03-16 |
The fabricator/manufacturer/facility name | Tullis Inc - Northstate Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 853452 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0057::SHASTA RANCH AGGREGATES |
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The fabricator's/manufacturer's product name for the sample | L200135 | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Unknown | A detailed description of where the material sample was collected | Cold Feed from Diverted Belt at Plant |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/8 inch |
The concrete mix design number | JMF 20-01-S1 | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-118 | Date Created | 05/01/2020 |
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JMF Submittal ID | JMF3511-22-2020-195 | JMF Status | Submittal Rejected For Use |
Producer Mix ID | L200135 | Rejected Date | 05/18/2020 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-04-03-15-1 AASHTO T27-14 (Verified)