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 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 Date05/15/2018 Sample Unique Key33
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 testing08/15/2018
Sample typeVerification A brief description of the sample3/4-inch Type G Aggregate, Treated
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 samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationD77388 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTullis, Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) Number876217
Inspector Lot Number from the Transportation Laboratory (TL) FormJMF 18-08-S1 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-45-0057::SHASTA RANCH AGGREGATES
The fabricator's/manufacturer's product name for the sample19-mm Type G Aggregate Treated The fabricator/manufacturer designation for the sampleL180372
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 18-08-S1 Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

JMF Information

Verification IDJMF3513-2018-26 Date Created08/06/2018
JMF Submittal IDJMF3511-22-2018-41 JMF StatusSubmittal Authorized For Use
Producer Mix IDL180372 Authorized Date08/07/2018

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-15-33-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)NRML-R, CT D02 - Redding Northern Regional Laboratory05/16/2018Ward Jenkins
Yes
08/06/2018

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2018-05-15-33-1 AASHTO T27-14 (Verified)