Sample Record

DIME Sample ID 2021-06-25-13

Project Information

Project IdentifiersProject ID: 215624
DEA: 020J4004
EFIS: 0219000115
DIST-CO-RTE-PM02-SIS-161-17.5/18.5
Award Date05/11/2021
Closeout Date09/27/2021
Work DescriptionFULL DEPTH RECLAMATION - CEMENT AND PLACE HMA.
Location DescriptionSISKIYOU COUNTY NEAR TULELAKE FROM 0.3 MILE EAST OF MALONE ROAD TO 1.2 MILES EAST OF HILL ROAD
QA Service Level1 (Verified on 04/19/2021)

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

Sample Information

Sample Taken Date06/25/2021 Sample Unique Key13
Date that the sample was received by the laboratory/organization performing the testing06/25/2021 Sample typeDepartment Acceptance
A brief description of the sampleColdfeed 3/4" Lime Treated Agg The quantity of what the sample constitutesPSE 2 Bags at 280 Tons
From where was the sample collectedManufacturer First name of sampler or witnessed byRandy
Last name of sampler or witnessed byBibbins Title of samplerCGI
Telephone number of sampler Laboratory sample identificationD78868
Linked DIME Sample ID2021-06-25-14 The fabricator/manufacturer/facility nameHat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA
Transportation Laboratory (TL) Number990939 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-25-0008
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedSample Device
Where the material sample would have been placed if not sampled02 SIS 161 Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberNot Applicable Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2021-06-25-13-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormick, CT D02 - Redding Northern Regional Laboratory06/29/2021
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-06-25-13-1 AASHTO T27-14