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Sample Record for 2018-02-20-12

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212852 DEA: 010H7604 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101-33.0/42.0
Work Description: Fire Damage Repairs: Roadway Repair, Drainage/Slope Repair, Erosion Control, Fencing, MBGR and Sign Replacement, Hazard Tree and Debris Removal.
Location Description:
Contractor Address: 1324 S. State Street, Ukiah, CA 95482
Resident Engineer: MUNES NASH Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-02-20-12
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 02/20/2018
Date that the sample was received by the laboratory/organization performing the testing: 03/21/2018
The quantity of what the sample constitutes: ample
A brief description of the sample: 1/2 HMA A W/ RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: granite ukiah

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-23-0015::HARRIS QUARRY
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: cold feed
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: fine
The concrete mix design number: Unknown
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2018-02-20-12-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email:
Organization Phone: (707) 496-0974
Data has not been verified.