Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-05-16-14
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Project Information
| Project Identifiers | Project ID: 211705 DEA: 024G3804 EFIS: 0214000006 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-299-0.0/8.3 |
| Award Date | 11/30/2016 |
| Closeout Date | 01/02/2019 |
| Work Description | PLACE RUBBERIZED HOT MIX ASPHALT, GUARDRAIL, AND SOME DRAINAGE |
| Location Description | TRINITY COUNTY AT AND NEAR SALYER FROM HUMBOLDT COUNTY LINE TO 0.6 MILE EAST OF GRAY CREEK ROAD |
| QA Service Level | 1 (Verified on 10/25/2017) |
Sample Information
| Sample Taken Date | 05/16/2018 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 05/16/2018 |
| Sample type | Verification | A brief description of the sample | Sized Treated Aggregate |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Dave | Last name of sampler or witnessed by | Lockett |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77397 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Mercer Fraser Company, Willow Creek Plant | Transportation Laboratory (TL) Number | 002136 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF 18-06-S1 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-12-0007::WILLOW CREEK |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | 17-1006.112G |
| The plant number | Unknown | A detailed description of where the material sample was collected | Hot Bins |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | JMF 18-06-S1 | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
JMF Information
| Verification ID | JMF3513-2018-32 | Date Created | 08/30/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2018-46 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 17-1006.112G | Authorized Date | 08/31/2018 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-05-16-14-1 AASHTO T27-14 (Verified)