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Sample Record for 2021-06-02-8

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

Project Information

Project ID: 215424 DEA: 024G4404 EFIS: 0214000013 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-3-38.0/38.6
Work Description: BRIDGE REPLACEMENT
Location Description: SISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD
Contractor Name: Steelhead Constructors
Contractor Address: 2940 INNSBRUCK DRIVE, REDDING CA 96003
Resident Engineer: Nicole Mallory Structure Rep.: O'Sullivan, Andy

Sample Information

DIME Sample ID: 2021-06-02-8
TL Number from the TL Form: 779363
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: 06/02/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2021
The quantity of what the sample constitutes: PSE at 100 Tons
A brief description of the sample: Coldfeed Lime Treated 3/4" Agg
From where was the sample collected: Manufacturer
Laboratory sample identification: D78821
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis Inc - Northstate Asphalt - Redding, CA

Material Information

Source Identification (SMARA or name of Pit): 91-45-0057
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: Samplimg Device at Plant
Where the material sample would have been placed if not sampled: 02 SIS 3
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: Unknown
Sublot number: Unknown

Test Results

Test 1 of 1

DIME Test ID: 2021-06-02-8-1
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.

Tests Assigned to this Sample

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