Sample Record for 2018-06-28-13
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212846 DEA: 023H1604 EFIS: 0217000065
QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-299-25.7/29.4
Work Description: AC OVERLAY WITH REPLACE AC SURFACING, GUARDRAIL, STRIPING
Location Description: TRINITY COUNTY AT AND NEAR BIG BAR FROM 1.4 MILES EAST OF LITTLE FRENCH CREEK TO 0.4 MILE EAST OF MANZANITA CREEK BRIDGE
Contractor Name: TULLIS, INC.
Contractor Address: PO Box 493416, Redding, CA 96049
Resident Engineer: Sergio Mendoza Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2018-06-28-13
TL Number from the TL Form: T101 C858634
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: 06/28/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2018
The quantity of what the sample constitutes: JMF 4 bags
A brief description of the sample: JMF virgin aggregate 3 bins
From where was the sample collected: Manufacturer
Laboratory sample identification: D77487
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis Northstate Asphalt
Material Information
Source Identification (SMARA, name of Pit or Job Site): unknown
The fabricator's/manufacturer's product name for the sample: Virgin Aggregate 3 bins
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: virgin aggregate
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 3
DIME Test ID: 2018-06-28-13-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
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.
Test 2 of 3
DIME Test ID: 2018-06-28-13-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
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.
Test 3 of 3
DIME Test ID: 2018-06-28-13-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
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.
