Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-06-15-32
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215441 DEA: 021J5204 EFIS: 0220000087 |
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DIST-CO-RTE-PM | 02-MOD,SIS-139-34.0/50.7,0.0/5.0 |
Award Date | 03/02/2021 |
Closeout Date | 09/27/2021 |
Work Description | PLACE ASPHALT RUBBER BINDER CHIP SEAL & REPLACE AC SURFACING. |
Location Description | MODOC AND SISKIYOU COUNTIES AT AND NEAR NEWELL FROM 3.3 MILES NORTH OF PEREZ OVERHEAD TO ROUTE 161 |
QA Service Level | 1 (Verified on 02/01/2021) |
Sample Information
Sample Taken Date | 06/15/2021 | Sample Unique Key | 32 |
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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 | 06/16/2021 |
Sample type | Department Acceptance | A brief description of the sample | 2 bags of Uncoated 3/8″ Aggregate for Use in ARB Chip Seal |
The quantity of what the sample constitutes | One-half day to whole project | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Carmichael |
Title of sampler | Consultant | Telephone number of sampler | |
Laboratory sample identification | D78845 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Hat Creek Construction and Materials - Shaw Pit - Lookout, CA | Transportation Laboratory (TL) Number | 990927 |
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) | 91-25-0008::Shaw Pit |
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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 | Sampling Device at Plant |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
The concrete mix design number | Lot number | Unknown | |
Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-06-15-32-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-06-15-32-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2021-06-15-32-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2021-06-15-32-4 CTM 211-May 2010 (Verified)
DIME Test ID: 2021-06-15-32-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-06-15-32-7 AASHTO T335-09r13 (Verified)