DIME - Sample Record for DIME Sample ID 2018-05-13-2

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DIME » All Projects » Project - DEA: 02368414 » Sample 2018-05-13-2 » Sample Details

Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2018-05-13-2

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Project Information

Project Identifiers	Project ID: 212574 DEA: 02368414 EFIS: 0215000066
DIST-CO-RTE-PM	02-SHA-44-R4.6/R6.4
Award Date	10/13/2017
Closeout Date	11/24/2021
Work Description	CONSTRUCT OVERCROSSING, WIDEN WITH HMA AND AB, AND OVERLAY WITH HMA
Location Description	SHASTA COUNTY NEAR PALO CEDRO FROM CLOUGH CREEK BRIDGE TO 0.6 MILE WEST OF DESCHUTES ROAD UNDERCROSSING
QA Service Level	1 (Verified on 07/28/2017)

Sample Information

Sample Taken Date	05/13/2018	Sample Unique Key	2
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	05/14/2018
Sample type	Verification	A brief description of the sample	Cold Feed, Treated Virgin 1/2-inch Type A
The quantity of what the sample constitutes	JMF Verification	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Anthony	Last name of sampler or witnessed by	Ortiz
Title of sampler	TET	Telephone number of sampler	Unknown
Laboratory sample identification	D77368A	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Tullis, Inc - Northstate Asphalt - Redding, CA	Transportation Laboratory (TL) Number	896274
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Not set
Structure name	Not set

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-45-0057
The fabricator's/manufacturer's product name for the sample	Treated Virgin 1/2-inch Type A Aggregate	The fabricator/manufacturer designation for the sample	L170860
The plant number	Unknown	A detailed description of where the material sample was collected	Plant Sampler
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1/2 inch
The concrete mix design number	JMF 18-01-S3	Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set
HMA Pay	No

JMF Information

Verification ID	JMF3513-2018-22	Date Created	07/16/2018
JMF Submittal ID	JMF3511-22-2018-37	JMF Status	Submittal Authorized For Use
Producer Mix ID	L170860	Authorized Date	06/25/2018

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2018-05-13-2-1	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Darrell Valasek, CT D02 - Redding Northern Regional Laboratory	05/14/2018	Ward Jenkins	Yes	07/16/2018

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2018-05-13-2-1 AASHTO T27-14 (Verified)