Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-05-31-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212784
DEA: 023H1504
EFIS: 0217000064
DIST-CO-RTE-PM02-LAS-299-0.0/4.7
Award Date11/30/2017
Closeout Date01/08/2019
Work DescriptionAC OVERLAY, REPLACE ASPHALT CONCRETE SURFACING AND GUARDRAIL.
Location DescriptionLASSEN COUNTY NEAR MCARTHUR FROM SHASTA COUNTY LINE TO 4.0 MILES WEST OF MUCK VALLEY HYDRO ROAD.
QA Service Level1 (Verified on 05/03/2018)

Sample Information

Sample Taken Date05/31/2018 Sample Unique Key18
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 testing05/31/2018
Sample typeVerification A brief description of the sampleCombined Treated Virgin Type A Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedSource
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationD77434 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameFawndale Rock and Asphalt Transportation Laboratory (TL) Number736683
Inspector Lot Number from the Transportation Laboratory (TL) FormJMF 18-03-M1 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-45-0017::FAWNDALE ROCK QUARRY
The fabricator's/manufacturer's product name for the sampleUnknown 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 18-03-M1 Lot numberNot set
Sublot numberNot set JMF Verification ID JMF3513-2018-47
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-31-18-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Colt SweenyCT D02 - North Region Materials Lab06/01/2018Ward Jenkins
Yes
01/04/2019