Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-05-15-33
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212679 DEA: 023E7204 EFIS: 0200020154 |
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DIST-CO-RTE-PM | 02-TEH-36-42.1/46.0 |
Award Date | 12/18/2017 |
Closeout Date | 08/07/2019 |
Work Description | COLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK. |
Location Description | TEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD |
QA Service Level | 1 (Verified on 05/24/2018) |
Sample Information
Sample Taken Date | 05/15/2018 | Sample Unique Key | 33 |
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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 | 08/15/2018 |
Sample type | Verification | A brief description of the sample | 3/4-inch Type G Aggregate, Treated |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Allegretto |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | D77388 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Tullis, Inc - Northstate Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 876217 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF 18-08-S1 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0057::SHASTA RANCH AGGREGATES |
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The fabricator's/manufacturer's product name for the sample | 19-mm Type G Aggregate Treated | The fabricator/manufacturer designation for the sample | L180372 |
The plant number | Unknown | A detailed description of where the material sample was collected | Sampling device at 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 | JMF 18-08-S1 | Lot number | Not set |
Sublot number | Not set | Aggregate Mix Number | Not set |
HMA Pay | No |
JMF Information
Verification ID | JMF3513-2018-26 | Date Created | 08/06/2018 |
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JMF Submittal ID | JMF3511-22-2018-41 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | L180372 | Authorized Date | 08/07/2018 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-05-15-33-1 AASHTO T27-14 (Verified)