Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-04-25-17
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212562 DEA: 024G5504 EFIS: 0214000036 |
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DIST-CO-RTE-PM | 02-SIS-5-2.7/R11.4 |
Award Date | 03/12/2018 |
Closeout Date | 10/05/2020 |
Work Description | RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS |
Location Description | SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS |
QA Service Level | 1 (Verified on 04/04/2018) |
Sample Information
Sample Taken Date | 04/25/2018 | Sample Unique Key | 17 |
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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 | 05/29/2018 |
Sample type | Verification | A brief description of the sample | Untreated Aggregate |
The quantity of what the sample constitutes | 1 box 4 small bags in side | From where was the sample collected | Source |
First name of sampler or witnessed by | Derrick | Last name of sampler or witnessed by | Curry |
Title of sampler | Tech | Telephone number of sampler | Unknown |
Laboratory sample identification | D77341 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Jt Shea-Fawndale Plant | Transportation Laboratory (TL) Number | C001555 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | |
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0017 |
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The fabricator's/manufacturer's product name for the sample | Jt Shea | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Unknown | A detailed description of where the material sample was collected | Fawndale Plant |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
The concrete mix design number | Unknown | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
HMA Pay | No |
JMF Information
Verification ID | JMF3513-2020-94 | Date Created | 02/07/2020 |
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JMF Submittal ID | JMF3511-22-2020-137 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | 18-1001.305-23.6%,_(modified) | Authorized Date | 06/11/2019 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-04-25-17-1 AASHTO T104-99r16 (Verified)
DIME Test ID: 2018-04-25-17-2 AASHTO T104-99r16 (Verified)