Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2018-05-15-24

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212562
DEA: 024G5504
EFIS: 0214000036
DIST-CO-RTE-PM02-SIS-5-2.7/R11.4
Award Date03/12/2018
Closeout Date10/05/2020
Work DescriptionRECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location DescriptionSISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
QA Service Level1 (Verified on 04/04/2018)

Sample Information

Sample Taken Date05/15/2018 Sample Unique Key24
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 testing05/15/2018
Sample typeVerification A brief description of the sampleCold Feed, Treated Virgin 3/4-inch Type A Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byAshton Last name of sampler or witnessed byErickson
Title of samplerCGI Telephone number of samplerUnknown
Laboratory sample identificationD77380A Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJ F Shea Construction Inc - Fawndale Rock and Asphalt - Redding CA Transportation Laboratory (TL) Number897205
Inspector Lot Number from the Transportation Laboratory (TL) Form18-03-S3 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-45-0017::FAWNDALE ROCK QUARRY
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedSampling device at plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 18-03-S3 Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

JMF Information

Verification IDJMF3513-2018-23 Date Created07/19/2018
JMF Submittal IDJMF3511-22-2018-38 JMF StatusSubmittal Authorized For Use
Producer Mix ID18-1001.305-23.6% Authorized Date07/31/2018

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-15-24-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)NRML-RCT D02 - Redding Northern Regional Laboratory05/15/2018Ward Jenkins
Yes
07/19/2018

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2018-05-15-24-1 AASHTO T27-14 (Verified)