DIME - Sample Record for DIME Sample ID 2018-04-09-11

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2018-04-09-11

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Project Information

Project Identifiers	Project ID: 212886 DEA: 023H1204
DIST-CO-RTE-PM	02-TEH-5-R0.0/R22.4
Award Date	01/03/2018
Closeout Date	02/06/2019
Work Description	COLD PLANE RAC-O, PLACE RHMA-O, REPLACE AC SURFACING, MBGR
Location Description	TEHAMA COUNTY AT AND NEAR CORNING FROM GLENN COUNTY LINE TO 0.3 MILE NORTH OF BRANCH COYOTE CREEK BRIDGE
QA Service Level	1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date	04/09/2018	Sample Unique Key	11
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	04/10/2018
Sample type	Verification	A brief description of the sample	Cold Feed, Virgin 3/4-inch Type A Aggregate
The quantity of what the sample constitutes	JMF Renewal	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Michael	Last name of sampler or witnessed by	Allegretto
Title of sampler	Tech	Telephone number of sampler	Unknown
Laboratory sample identification	D77319A	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Tullis, Inc - Northstate Asphalt - Redding, CA	Transportation Laboratory (TL) Number	852096
Inspector Lot Number from the Transportation Laboratory (TL) Form	1-5	Structure unique identifier	Not set
Structure name	Not set

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-45-0057
The fabricator's/manufacturer's product name for the sample	Cold Feed	The fabricator/manufacturer designation for the sample	L170107
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	Digouts	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number	JMF 17-07-R1	Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set
HMA Pay	No

JMF Information

Verification ID	JMF3513-2018-21	Date Created	07/12/2018
JMF Submittal ID	JMF3511-22-2018-36	JMF Status	Submittal Authorized For Use
Producer Mix ID	L170107	Authorized Date	04/26/2018

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2018-04-09-11-1	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Terry McCormick, CT D02 - Redding Northern Regional Laboratory	04/10/2018	Ward Jenkins	Yes	07/12/2018

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2018-04-09-11-1 AASHTO T27-14 (Verified)