Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-10-14-51
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215704 DEA: 020J9104 EFIS: 0219000174 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS,MOD,SHA-89,139,299-VAR |
| Award Date | 06/03/2021 |
| Closeout Date | 08/08/2022 |
| Work Description | REPAIR UNSOUND CONCRETE, POLYESTER CONCRETE OVERLAYS, JOINT SEALS. |
| Location Description | LASSEN, MODOC, AND SHASTA COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 05/03/2021) |
Sample Information
| Sample Taken Date | 10/14/2021 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 10/14/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Shoulder Backing |
| The quantity of what the sample constitutes | 3 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | D78962 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | J F Shea Construction Inc - Fawndale Rock and Asphalt - Redding CA | Transportation Laboratory (TL) Number | 875741 |
| 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) | 91-45-0017 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Plant | |
| Where the material sample would have been placed if not sampled | 02 MOD SHA SIS LAS VAR | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | 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: 2021-10-14-51-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-10-14-51-2 CTM 205-December 2010 (Verified)
DIME Test ID: 2021-10-14-51-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2021-10-14-51-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2021-10-14-51-5 CTM 301-March 2000 (Verified)
