Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-07-09-7

Project Information

Project IdentifiersProject ID: 212679
DEA: 023E7204
EFIS: 0200020154
DIST-CO-RTE-PM02-TEH-36-42.1/46.0
Award Date12/18/2017
Closeout Date08/07/2019
Work DescriptionCOLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK.
Location DescriptionTEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD
QA Service Level1 (Verified on 05/24/2018)

Sample Information

Sample Taken Date07/09/2018 Sample Unique Key7
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 testing07/10/2018
Sample typeAcceptance A brief description of the sample3/4 Cold feed
The quantity of what the sample constitutes1 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byLynn Last name of sampler or witnessed byHunnicut
Title of samplerConsultant Telephone number of samplerUnknown
Laboratory sample identificationD77522 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTullis Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) NumberT101 C896888
Inspector Lot Number from the Transportation Laboratory (TL) FormT101 C896888 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Unknown
The fabricator's/manufacturer's product name for the sampleCold feed The fabricator/manufacturer designation for the sampleUnknown
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 Size3/4 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set HMA Design ID
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-07-09-7-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab07/11/2018Terry McCormick
No
3/4 Cold feed Info