Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2024-07-25-101
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Project Information
| Project Identifiers | Project ID: 994636 DEA: 022J9604 EFIS: 0221000153 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-VAR |
| Award Date | 05/25/2023 |
| Closeout Date | Not set |
| Work Description | PLACE POLYESTER CONCRETE OVERLAY, HMA (TYPE A), & REPLACE JOINT SEALS. |
| Location Description | SISKIYOU COUNTY AT VARIOUS LOCATIONS FROM OAK STREET UNDERCROSSING TO KLAMATH RIVER BRIDGE AND SEPARATION BRIDGE NO. 02-0134R |
| QA Service Level | 1 (Verified on 08/07/2023) |
Sample Information
| Sample Taken Date | 07/25/2024 | Sample Unique Key | 101 |
|---|---|---|---|
| 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 | 07/29/2024 |
| Sample type | Acceptance | A brief description of the sample | Shoulder Backing |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Danny | Last name of sampler or witnessed by | Hansen |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | D79671 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | J F Shea Construction - Fawndale Rock and Asphalt - Redding CA | Transportation Laboratory (TL) Number | 851264 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
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 | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-07-25-101-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-07-25-101-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-07-25-101-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2024-07-25-101-4 CTM 301-March 2000 (Verified)