Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2018-05-21-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212996
DEA: 023H1404
DIST-CO-RTE-PM02-TRI,SHA-36-0.0/R3.5,0.0/4.0
Award Date02/28/2018
Closeout Date01/08/2019
Work DescriptionAC OVERLAY, REPLACE AC SURFACE, GUARDRAIL, SHOULDER BACKING
Location DescriptionSHASTA AND TRINITY COUNTIES FROM TRINITY COUNTY LINE TO 0.4 MILE EAST OF HARRISON GULCH ROAD AND FROM HUMBOLDT COUNTY LINE TO 0.2 MILE EAST OF MAD RIVER ROAD
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date05/21/2018 Sample Unique Key8
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 testing05/22/2018
Sample typeVerification A brief description of the sampleCombined Treated Virgin Type A Aggregate
The quantity of what the sample constitutesJMF Verification Renewal From where was the sample collectedManufacturer
First name of sampler or witnessed byDave Last name of sampler or witnessed byLockett
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationD77409 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTullis, Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) Number002140
Inspector Lot Number from the Transportation Laboratory (TL) FormJMF 17-04-R1 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 sampleUnknown The fabricator/manufacturer designation for the sampleL170304
The plant numberUnknown A detailed description of where the material sample was collectedCold Feed
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 17-04-R1 Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

JMF Information

Verification IDJMF3513-2018-34 Date Created09/18/2018
JMF Submittal IDJMF3511-22-2018-47 JMF StatusSubmittal Authorized For Use
Producer Mix IDL170304 Authorized Date09/28/2018

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-21-8-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)NRML-R, CT D02 - Redding Northern Regional Laboratory05/25/2018Ward Jenkins
Yes
09/27/2018

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2018-05-21-8-1 AASHTO T27-14 (Verified)