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Sample Record for 2021-09-15-18

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

Project Information

Project ID: 212245 DEA: 024F8604 EFIS: 0213000043 QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-36-26.7/27.1
Work Description: ROADWAY REALIGNMENT AND NEW BRIDGE CONSTRUCTION
Location Description: TRINITY COUNTY ABOUT 9 MILES EAST OF FOREST GLEN FROM 0.6 MILE WEST TO 0.1 MILE WEST OF ROUTE 3
Contractor Name: Steelhead Constructors
Contractor Address: 2940 INNSBRUCK DRIVE, REDDING CA 96003
Resident Engineer: Joel Gasik Structure Rep.: Michael D Sears

Sample Information

DIME Sample ID: 2021-09-15-18
TL Number from the TL Form: 036779
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Informational
Type of Material: Aggregate
Sample Taken Date: 09/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/16/2021
The quantity of what the sample constitutes: 1 bag of compost for use in erosion control
A brief description of the sample: Compost
From where was the sample collected: Manufacturer
Laboratory sample identification: D78943
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Lassen Forest Products

Material Information

Source Identification (SMARA or name of Pit): Unknown
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: unk
A detailed description of where the material sample was collected: Stockpile
Where the material sample would have been placed if not sampled: 02 TRI 36 PM 26 1 to 27 1
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: Not Applicable
Lot number:
Sublot number:

Test Results

Test 1 of 1

DIME Test ID: 2021-09-15-18-1
Test Method: CTM 212-May 2010: Method of Test for Unit Weight of Aggregate
Verified Date: 09/21/2021
Date Tested: 09/18/2021
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: Loose method (by shoveling) was performed.
Test Result Compliance: not applicable
Additional Comments When Verified:
Aggregate unit weight 24.3 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.