Sample Record
DIME Sample ID 2021-06-21-17
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Project Information
| Project Identifiers | Project ID: 215251 DEA: 021J4604 EFIS: 0220000081 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-34.5/38.8,88.0/92.0 |
| Award Date | 02/02/2021 |
| Closeout Date | 09/27/2021 |
| Work Description | HMA OVERLAY, REPLACE AC SURFACING, SHOULDER BACKING & TRAFFIC STRIPE. |
| Location Description | SISKIYOU COUNTY NEAR HAPPY CAMP FROM 0.1 MILE EAST OF OAK FLAT CREEK BRIDGE TO 0.1 MILE EAST OF BENJAMIN CREEK ROAD AND FROM 0.3 MILE WEST OF BEAVER CREEK BRIDGE TO 1.0 MILE WEST OF LUMGREY CREEK BRIDGE |
| QA Service Level | 1 (Verified on 10/30/2020) |
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
Sample Information
| Sample Taken Date | 06/21/2021 | Sample Unique Key | 17 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 06/21/2021 | Sample type | Department Acceptance |
| A brief description of the sample | 3 bags of Combined Lime Treated Virgin 3/8-inch Aggregate from Cold Feed for use in 3/8-inch Type A HMA | The quantity of what the sample constitutes | Production Start-Up Evaluation |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Devin |
| Last name of sampler or witnessed by | Owens | Title of sampler | PEI |
| Telephone number of sampler | Laboratory sample identification | D78848A | |
| Linked DIME Sample ID | 2021-06-21-18 | The fabricator/manufacturer/facility name | Tullis Inc - Northstate Asphalt - Redding, CA |
| Transportation Laboratory (TL) Number | 853076 | Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown |
| Structure unique identifier | Structure name | Not Applicable | |
| 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 | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Sampling Belt |
| Where the material sample would have been placed if not sampled | 02 SIS 96 | Primary Aggregate Nominal Size | 3/8 inch |
| The concrete mix design number | Not Applicable | Lot number | Unknown |
| Sublot number | Unknown | 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: 2021-06-21-17-1 AASHTO T27-14 (Verified)