Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2018-05-14-18

Project Information

Project IdentifiersProject ID: 212680
DEA: 024F5504
EFIS: 0213000005
DIST-CO-RTE-PM02-SIS-89-20.9 - 21.2
Award Date11/14/2017
Closeout Date05/15/2019
Work DescriptionBRIDGE REPLACEMENT WITH PRE-CAST I-GIRDER AND RECONSTRUCT HIGHWAY
Location DescriptionSISKIYOU COUNTY NEAR MCCLOUD FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF MUD CREEK BRIDGE
QA Service Level1 (Verified on 02/12/2018)

Sample Information

Sample Taken Date05/14/2018 Sample Unique Key18
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 testing05/14/2018
Sample typeVerification A brief description of the sampleCold Feed
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 samplerPEI Telephone number of samplerUnknown
Laboratory sample identificationD77366A Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTullis, Northstate Asphalt, Redding, CA Transportation Laboratory (TL) Number853535
Inspector Lot Number from the Transportation Laboratory (TL) FormJMF Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-45-0057
The fabricator's/manufacturer's product name for the sampleCold Feed The fabricator/manufacturer designation for the sampleL170303
The plant numberUnknown A detailed description of where the material sample was collectedPlant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberJMF 17-05-R1 Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

JMF Information

Verification IDJMF3513-2018-20 Date Created07/10/2018
JMF Submittal IDJMF3511-22-2018-35 JMF StatusSubmittal Authorized For Use
Producer Mix IDL170303 Authorized Date06/18/2018

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-14-18-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Darrell Valasek, CT D02 - Redding Northern Regional Laboratory05/15/2018Terry McCormick
Yes
07/10/2018JMF 17-05-R1 Cold Feed

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2018-05-14-18-1 AASHTO T27-14 (Verified)