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Sample Record for 2018-07-11-5

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

Project Information

Project ID: 211705 DEA: 024G3804 EFIS: 0214000006 QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-299-0.0/8.3
Work Description: PLACE RUBBERIZED HOT MIX ASPHALT, GUARDRAIL, AND SOME DRAINAGE
Location Description: TRINITY COUNTY AT AND NEAR SALYER FROM HUMBOLDT COUNTY LINE TO 0.6 MILE EAST OF GRAY CREEK ROAD
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-07-11-5
TL Number from the TL Form: T101 C 002205
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 07/11/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/11/2018
The quantity of what the sample constitutes: PSE 6 bags
A brief description of the sample: 1/2 Virgin agg bins
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF D77532
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Willow Crk

Material Information

Source Identification (SMARA or name of Pit): 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: Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:

Test Results

Test 1 of 3

DIME Test ID: 2018-07-11-5-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
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: 2018-07-11-5-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
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: 2018-07-11-5-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
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.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.