DIME - Sample Record for DIME Sample ID 2021-11-03-41

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2021-11-03-41

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Project Information

Project Identifiers	Project ID: 215424 DEA: 024G4404 EFIS: 0214000013
DIST-CO-RTE-PM	02-SIS-3-38.0/38.6
Award Date	04/05/2021
Closeout Date	08/14/2023
Work Description	BRIDGE REPLACEMENT
Location Description	SISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD
QA Service Level	1 (Verified on 01/19/2021)

Sample Information

Sample Taken Date	11/03/2021	Sample Unique Key	41
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	11/04/2021
Sample type	Department Acceptance	A brief description of the sample	Shoulder Backing
The quantity of what the sample constitutes	Up to 3000 tons	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Karl	Last name of sampler or witnessed by	Houtman
Title of sampler	JET	Telephone number of sampler
Laboratory sample identification	D78975	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Custom Crushing Inc	Transportation Laboratory (TL) Number	853089
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)	custom crushing
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	Stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1-1/2 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Verified?	Release Date	Test Comments	Privacy Level
2021-11-03-41-1	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Darrell Valasek, CT D02 - Redding Northern Regional Laboratory	11/24/2021	Yes	11/29/2021		Public - Test Data Visible
2021-11-03-41-2	CTM 229-June 2011: Method of Test for Durability Index	Colt Sweeny, CT D02 - Redding Northern Regional Laboratory	11/29/2021	Yes	11/29/2021		Public - Test Data Visible
2021-11-03-41-3	CTM 217-June 2011: Method of Test for Sand Equivalent	Karen Dorado, CT D02 - Redding Northern Regional Laboratory	11/20/2021	Yes	11/29/2021		Public - Test Data Visible
2021-11-03-41-4	CTM 205-December 2010: Method of Test for Determining Percentage of Crushed Particles	Karen Dorado, CT D02 - Redding Northern Regional Laboratory	11/20/2021	Yes	11/29/2021	Percentage of coarse, 1 and 2 fractured faced, crushed particles was determined. The percentage of fine crushed particles was not determined.	Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-11-03-41-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-11-03-41-2 CTM 229-June 2011 (Verified)
DIME Test ID: 2021-11-03-41-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2021-11-03-41-4 CTM 205-December 2010 (Verified)