Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2019-04-17-24

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213720
DEA: 024H2004
EFIS: 0218000094
DIST-CO-RTE-PM02-SHA-89-26.3/29.2
Award Date12/19/2018
Closeout Date08/06/2019
Work DescriptionPAVEMENT OVERLAY
Location DescriptionSHASTA COUNTY ABOUT 10 MILES NORTH OF BURNEY FROM 0.3 MILE NORTH OF CLARK CREEK ROAD TO LAKE BRITTON BRIDGE
QA Service Level1 (Verified on 01/04/2019)

Sample Information

Sample Taken Date04/17/2019 Sample Unique Key24
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 testing04/18/2019
Sample typeVerification A brief description of the sample3/4-inch Type A HMA Aggregate (Virgin)
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of sampler Telephone number of sampler
Laboratory sample identificationD77830A Linked DIME Sample ID
The fabricator/manufacturer/facility nameShaw Pit Facility Transportation Laboratory (TL) Number853328
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-25-0008::SHAW PIT
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sample19-1278.105A
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 19-04-S1a Lot number0
Sublot number0 Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2019-59 Date Created05/08/2019
JMF Submittal IDJMF3511-22-2019-87 JMF StatusSubmittal Rejected For Use
Producer Mix ID19-1278.105A Rejected Date05/13/2019

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-17-24-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormick, CT D02 - Redding Northern Regional Laboratory04/19/2019Ward Jenkins
Yes
05/08/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-04-17-24-1 AASHTO T27-14 (Verified)