Sample Record for 2018-09-24-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212816 DEA: 020H6304 EFIS: 0215000063
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-139-6.2/7.3
Work Description: ROADWAY EXCAVATION, AGGREGATE BASE, HOT MIX ASPHALT, GUARDRAIL
Location Description: LASSEN COUNTY ABOUT 6 MILES NORTH OF SUSANVILLE FROM 1.0 MILE SOUTH TO 0.1 MILE SOUTH OF ANTELOPE RADIO STREET
Contractor Name: Knife River Construction
Contractor Address: 1764 Skyway, CHICO, CA 95928
Resident Engineer: John Yolton Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2018-09-24-7
TL Number from the TL Form: T101 C 990868
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: 09/24/2018
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2018
The quantity of what the sample constitutes: PSE 2 bags
A brief description of the sample: PSE 3/4 Cold feed and rap
From where was the sample collected: Manufacturer
Laboratory sample identification: D77662
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ward Lake Hat Crk Construction
Material Information
Source Identification (SMARA, name of Pit or Job Site): Unknown
The fabricator's/manufacturer's product name for the sample: Cold feed and rap
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 3
DIME Test ID: 2018-09-24-7-1
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: 2018-09-24-7-2
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: 2018-09-24-7-3
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.
