Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2020-03-20-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout Date08/16/2023
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date03/20/2020 Sample Unique Key19
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 testing03/23/2020
Sample typeDepartment Acceptance A brief description of the sample3/4-inch Type A Aggregate (Treated, Virgin)
The quantity of what the sample constitutes50000 ton From where was the sample collectedSource
First name of sampler or witnessed byKaren Last name of sampler or witnessed bySpliethof
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD78363A Linked DIME Sample ID2020-03-20-20
The fabricator/manufacturer/facility nameFawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number897551
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-45-0017::FAWNDALE ROCK QUARRY
The fabricator's/manufacturer's product name for the sample19-1001.314 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedCold Feed
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 19-01-XXX1 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-105 Date Created04/07/2020
JMF Submittal IDJMF3511-22-2020-149 JMF StatusSubmittal Authorized For Use
Producer Mix ID19-1001.314 Authorized Date04/13/2020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-03-20-19-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)D. Hickey and K. Spliethof, CT D02 - Redding Northern Regional Laboratory03/25/2020Ward Jenkins
Yes
04/14/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-03-20-19-1 AASHTO T27-14 (Verified)