Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2019-01-29-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout DateNot set
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date01/29/2019 Sample Unique Key12
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 testing02/01/2019
Sample typeVerification A brief description of the sampleTreated Virgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byOrtiz
Title of sampler Telephone number of sampler
Laboratory sample identificationD77790 Linked DIME Sample ID
The fabricator/manufacturer/facility nameFawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number736645
Inspector Lot Number from the Transportation Laboratory (TL) Form 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 sample19-1001.314
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 19-01-S1a Lot number0
Sublot number0 Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2019-49 Date Created02/08/2019
JMF Submittal IDJMF3511-22-2019-66 JMF StatusSubmittal Authorized For Use
Producer Mix ID19-1001.314 Authorized Date02/26/2019

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-01-29-12-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Colt SweenyCT D02 - Redding Northern Regional Laboratory02/04/2019Ward Jenkins
Yes
02/22/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-01-29-12-1 AASHTO T27-14 (Verified)