Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-05-14-18
Project Information
Project Identifiers | Project ID: 212680 DEA: 024F5504 EFIS: 0213000005 |
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DIST-CO-RTE-PM | 02-SIS-89-20.9 - 21.2 |
Award Date | 11/14/2017 |
Closeout Date | 05/15/2019 |
Work Description | BRIDGE REPLACEMENT WITH PRE-CAST I-GIRDER AND RECONSTRUCT HIGHWAY |
Location Description | SISKIYOU COUNTY NEAR MCCLOUD FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF MUD CREEK BRIDGE |
QA Service Level | 1 (Verified on 02/12/2018) |
Sample Information
Sample Taken Date | 05/14/2018 | Sample Unique Key | 18 |
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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 |
The quantity of what the sample constitutes | JMF Renewal | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Allegretto |
Title of sampler | PEI | Telephone number of sampler | Unknown |
Laboratory sample identification | D77366A | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Tullis, Northstate Asphalt, Redding, CA | Transportation Laboratory (TL) Number | 853535 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF | 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 |
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The fabricator's/manufacturer's product name for the sample | Cold Feed | The fabricator/manufacturer designation for the sample | L170303 |
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 | 1/2 inch |
The concrete mix design number | JMF 17-05-R1 | Lot number | Not set |
Sublot number | Not set | Aggregate Mix Number | Not set |
HMA Pay | No |
JMF Information
Verification ID | JMF3513-2018-20 | Date Created | 07/10/2018 |
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JMF Submittal ID | JMF3511-22-2018-35 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | L170303 | Authorized Date | 06/18/2018 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-05-14-18-1 AASHTO T27-14 (Verified)