Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-09-22-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213134
DEA: 024F77U4
EFIS: 0217000022
DIST-CO-RTE-PM02-MOD-299-23.1/23.6, 24.5/33.5
Award Date05/08/2018
Closeout Date09/02/2020
Work DescriptionBRIDGE REPLACE, ROADWAY REHAB/FULL DEPTH RECLAMATION-CEMENT + HMA
Location DescriptionMODOC COUNTY ABOUT 6 MILES WEST OF ALTURAS FROM 0.3 MILE WEST TO 0.3 MILE EAST OF CALDWELL CREEK BRIDGE AND 1.1 MILES EAST OF CALDWELL CREEK BRIDGE TO 1.7 MILES WEST OF COUNTY ROAD 75
QA Service Level1 (Verified on 04/02/2018)

Sample Information

Sample Taken Date09/22/2018 Sample Unique Key6
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 testing09/22/2018
Sample typeVerification A brief description of the sampleCombined Virgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byEmilio Last name of sampler or witnessed byChavez
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationD77657 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHat Creek - Shaw Pit Facility Transportation Laboratory (TL) Number852918
Inspector Lot Number from the Transportation Laboratory (TL) FormJMF 18-18-S2 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-25-0008::SHAW PIT
The fabricator's/manufacturer's product name for the sample18-1278.96-LAS The fabricator/manufacturer designation for the sampleUnknown
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 18-18-S3 Lot numberNot set
Sublot numberNot set JMF Verification ID JMF3513-2018-38
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-09-22-6-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)NRML-RCT D02 - North Region Materials Lab09/24/2018Ward Jenkins
Yes
10/10/2018