DIME - Sample Record for DIME Sample ID 2020-07-01-42

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2020-07-01-42

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Project Information

Project Identifiers	Project ID: 214685 DEA: 024E46U4 EFIS: 0216000122
DIST-CO-RTE-PM	02-LAS-36-6.0/14.6
Award Date	05/08/2020
Closeout Date	08/14/2023
Work Description	REPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK.
Location Description	LASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD
QA Service Level	1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date	07/01/2020	Sample Unique Key	42
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	07/02/2020
Sample type	Verification	A brief description of the sample	Treated Virgin 3/4-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	Joe	Last name of sampler or witnessed by	Delgado
Title of sampler		Telephone number of sampler
Laboratory sample identification	D78502A	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Ward Lake Plant	Transportation Laboratory (TL) Number	896802
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)	91-18-0008
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
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	3/4 inch
The concrete mix design number	JMF 20-08-S2	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

JMF Information

Verification ID	JMF3513-2020-212	Date Created	10/30/2020
JMF Submittal ID	JMF3511-22-2020-301	JMF Status	Submittal Rejected For Use
Producer Mix ID	20-1278.120-0.75inch_HMA	Rejected Date	11/17/2020

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2020-07-01-42-1	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Ward Jenkins, CT D02 - Redding Northern Regional Laboratory	11/02/2020		Yes	11/02/2020		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2020-07-01-42-1 AASHTO T27-14 (Verified)