Sample Record for 2018-06-19-14
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212031 DEA: 021H8804 EFIS: 0216000015
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-VAR-VAR
Work Description: POLYESTER CONCRETE OVERLAY, JOINT SEALS, HMA, GUARDRAIL, STRIPING
Location Description: SHASTA COUNTY AT VARIOUS LOCATIONS
Contractor Name: J.F. Shea Construction, Inc
Contractor Address: 17400 Clear Creek Road, Redding, CA 96049
Resident Engineer: Joel Gaskil Structure Rep.: Dave Mann
Sample Information
DIME Sample ID: 2018-06-19-14
TL Number from the TL Form: T101 C736692
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/19/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2018
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: 3/4 cold feed and rap
From where was the sample collected: Manufacturer
Laboratory sample identification: D77458
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JF Shea Fawndale
Material Information
Source Identification (SMARA, name of Pit or Job Site): unknown
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: At the plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2018-06-19-14-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
Data has not been verified.
