Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-04-09-11

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212886
DEA: 023H1204
DIST-CO-RTE-PM02-TEH-5-R0.0/R22.4
Award Date01/03/2018
Closeout Date02/06/2019
Work DescriptionCOLD PLANE RAC-O, PLACE RHMA-O, REPLACE AC SURFACING, MBGR
Location DescriptionTEHAMA COUNTY AT AND NEAR CORNING FROM GLENN COUNTY LINE TO 0.3 MILE NORTH OF BRANCH COYOTE CREEK BRIDGE
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date04/09/2018 Sample Unique Key11
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 testing04/10/2018
Sample typeVerification A brief description of the sampleCold Feed, Virgin 3/4-inch Type A Aggregate
The quantity of what the sample constitutesJMF Renewal From where was the sample collectedManufacturer
First name of sampler or witnessed byMichael Last name of sampler or witnessed byAllegretto
Title of samplerTech Telephone number of samplerUnknown
Laboratory sample identificationD77319A Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTullis, Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) Number852096
Inspector Lot Number from the Transportation Laboratory (TL) Form1-5 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-45-0057
The fabricator's/manufacturer's product name for the sampleCold Feed The fabricator/manufacturer designation for the sampleL170107
The plant numberUnknown A detailed description of where the material sample was collectedPlant
Where the material sample would have been placed if not sampledDigouts Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 17-07-R1 Lot numberNot set
Sublot numberNot set JMF Verification ID JMF3513-2018-21
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-04-09-11-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab04/10/2018Ward Jenkins
Yes
07/12/2018