Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-02-27-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212679
DEA: 023E7204
EFIS: 0200020154
DIST-CO-RTE-PM02-TEH-36-42.1/46.0
Award Date12/18/2017
Closeout Date08/07/2019
Work DescriptionCOLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK.
Location DescriptionTEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD
QA Service Level1 (Verified on 05/24/2018)

Sample Information

Sample Taken Date02/27/2018 Sample Unique Key15
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 testing02/27/2018
Sample typeVerification A brief description of the sample5/8 inch Untreated Aggregate
The quantity of what the sample constitutesJMF From where was the sample collectedManufacturer
First name of sampler or witnessed byCheryl Last name of sampler or witnessed byAbraham
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationD77292A Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTullis, Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) Number852088
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-45-0057::SHASTA RANCH AGGREGATES
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set JMF Verification ID
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-02-27-15-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Sweeny/ValasekCT D02 - North Region Materials Lab02/27/2018Ward Jenkins
Yes
03/27/2018
2018-02-27-15-2CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBenjamin LenzCT HQ - Sacramento Aggregate Testing Laboratory04/13/2018Benjamin Lenz
Yes
04/13/2018