Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2022-07-24-5
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Project Information
| Project Identifiers | Project ID: 993659 DEA: 021J4204 EFIS: 0220000076 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-273-11.8/12.6 |
| Award Date | 05/10/2022 |
| Closeout Date | 10/06/2022 |
| Work Description | CONSTRUCT HMA STRUCTURAL SHOULDER SECTIONS AND MODIFY SIGNAL SYSTEM. |
| Location Description | SHASTA COUNTY IN REDDING FROM CLEAR CREEK ROAD TO 0.4 MILE NORTH OF WESTWOOD AVENUE |
| QA Service Level | 1 (Verified on 04/05/2022) |
Sample Information
| Sample Taken Date | 07/24/2022 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 08/26/2022 |
| Sample type | Department Acceptance | A brief description of the sample | Combined Lime Treated 3/4-inch Type A Aggregate |
| 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 | J.D. | Last name of sampler or witnessed by | Atkinson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D79114F | Linked DIME Sample ID | 2022-07-24-3, 2022-07-24-4 |
| The fabricator/manufacturer/facility name | Tullis – Northstate Asphalt (Redding, CA) | Transportation Laboratory (TL) Number | 037275 |
| 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) | 91-45-0057::Shasta Ranch Aggregates |
|---|---|---|---|
| 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 | Mathematically Combined Gradation per CT 384 | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 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: 2022-07-24-5-1 AASHTO T27-14 (Verified)