Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2017-07-26-16
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Project Information
| Project Identifiers | Project ID: 211852 DEA: 022H3704 EFIS: 0216000079 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-151-0.0/5.5 |
| Award Date | 01/03/2017 |
| Closeout Date | 11/29/2017 |
| Work Description | ASPHALT-RUBBER CHIP SEAL, REPLACE AC SURFACING, STRIPING |
| Location Description | SHASTA COUNTY IN AND NEAR SHASTA LAKE FROM SHASTA DAM TO CORAM UNDERPASS |
| QA Service Level | 1 (Verified on 02/15/2017) |
Sample Information
| Sample Taken Date | 07/26/2017 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 08/08/2017 |
| Sample type | Acceptance | A brief description of the sample | 9.5mm Chips |
| The quantity of what the sample constitutes | 1 bags 40lbs | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Sturges |
| Title of sampler | PEI Tester | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77101 | Linked DIME Sample ID | D77101 |
| The fabricator/manufacturer/facility name | Tullis Northstate Asphalt | Transportation Laboratory (TL) Number | T101 C896263 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | T101 C896263 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | unknown |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Chips | The fabricator/manufacturer designation for the sample | Unknown |
| 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 | Unknown | Primary Aggregate Nominal Size | 3/8 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||