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Sample Record for 2020-05-29-38

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

Project Information

Project ID: 214250 DEA: 021H3204 EFIS: 0215000126 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-99-12.0/12.6
Work Description: CONSTRUCT CURB RAMPS AND SIDEWALKS.
Location Description: TEHAMA COUNTY AT LOS MOLINOS FROM JOSEPHINE STREET TO LOS MOLINOS CREEK BRIDGE
Contractor Name: TULLIS INC
Contractor Address: P O BOX 493416, REDDING CA 96049
Resident Engineer: Tofael Anwar Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-29-38
TL Number from the TL Form: 853460
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: 05/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/29/2020
The quantity of what the sample constitutes: not provided
A brief description of the sample: Shoulder Backing
From where was the sample collected: Manufacturer
Laboratory sample identification: D78449
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis Northstate Asphalt

Material Information

Source Identification (SMARA or name of Pit): Tullis - Northstate Asphalt
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test 1 of 1

DIME Test ID: 2020-05-29-38-2
Test Method: CTM 212-May 2010: Method of Test for Unit Weight of Aggregate
Verified Date: 08/10/2020
Date Tested: 05/30/2020
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
General Comments for this Test:
Additional Comments When Verified:
Aggregate unit weight 112 lbf/ft^3

Tests Assigned to this Sample

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