Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2014-01-22-1160
Project Information
| Project Identifiers | Project ID: 7051 DEA: 023E9304 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI,TRI-299-0.0/0.1,64.0/72.2 |
| Award Date | 04/11/2012 |
| Closeout Date | 06/21/2013 |
| Work Description | HMA THIN BLANKET OVERLAY WITH DIGOUTS |
| Location Description | SHASTA AND TRINITY COUNTIES AT AND NEAR DOUGLAS CITY FROM 0.5 MILE EAST OF LEWISTON ROAD TO 0.1 MILE EAST OF SHASTA COUNTY LINE |
| QA Service Level | 1 (Verified on 03/29/2012) |
Sample Information
| Sample Taken Date | 01/22/2014 | Sample Unique Key | 1160 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 01/22/2014 |
| Sample type | Informational | A brief description of the sample | 1/2-inch Type A aggregate extracted by ignition from HMA |
| The quantity of what the sample constitutes | 4 cores | From where was the sample collected | Other |
| First name of sampler or witnessed by | Terry | Last name of sampler or witnessed by | McCormick |
| Title of sampler | Materials Tester | Telephone number of sampler | (530) 225-3414 |
| Laboratory sample identification | D75699 / 678943 | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Tullis Inc. - Northstate Asphalt (Redding CA) | 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 | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | SMARA ID No. 91-45-0057 / MSHA Mine ID No. 0405753 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 1/2-inch HMA Type A | The fabricator/manufacturer designation for the sample | Mix ID No. L120644BTR |
| The plant number | Not set | A detailed description of where the material sample was collected | Cored from in-place HMA on the roadway |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2014-01-22-1160-1 CTM 202-November 2011 (Verified)
