Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-02-27-21

Sample is locked from editing. info

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 Date02/27/2018 Sample Unique Key21
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 testing02/27/2018
Sample typeVerification A brief description of the sampleUntreated Virgin 1/2-inch Type A Aggregate, Laboratory Combined
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byMichael Last name of sampler or witnessed byAllegretto
Title of samplerLab Tech Telephone number of samplerUnknown
Laboratory sample identificationD77292F Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTullis, Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) Number852088
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-45-0057::SHASTA RANCH AGGREGATES
The fabricator's/manufacturer's product name for the sampleUntreated Virgin 1/2-inch Type A The fabricator/manufacturer designation for the sampleL170860
The plant numberUnknown A detailed description of where the material sample was collectedStockpiles at Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberJMF 18-01-S1 Lot numberNot set
Sublot numberNot set JMF Verification ID JMF3513-2018-22
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-02-27-21-11ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)Mike CruzCT D02 - North Region Materials Lab03/05/2018Ward Jenkins
Yes
07/16/2018