Sample Record
Owner Lab
- CT D02 - North Region Materials Lab
DIME Sample ID 2018-02-27-14
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212679 DEA: 023E7204 EFIS: 0200020154 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-36-42.1/46.0 |
| Award Date | 12/18/2017 |
| Closeout Date | 08/07/2019 |
| Work Description | COLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK. |
| Location Description | TEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD |
| QA Service Level | 1 (Verified on 05/24/2018) |
Sample Information
| Sample Taken Date | 02/27/2018 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 02/27/2018 |
| Sample type | Verification | A brief description of the sample | Combined RAP |
| The quantity of what the sample constitutes | JMF | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cheryl | Last name of sampler or witnessed by | Abraham |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77291B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Tullis, Inc - Northstate Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 852086 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Reclaimed Asphalt Pavement | RAP Source | Northstate Asphalt |
|---|---|---|---|
| Aggregate Size | 1/2-inch | Aggregate Source | Unknown |
| RAP Stockpile | Static | Stockpile Size (tons) | Unknown |
| JMF Verification ID | JMF3513-2018-19 | HMA Pay | No |