Sample Record

Owner Lab

  • Teichert Materials - Sacramento

DIME Sample ID 2019-04-28-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213912
DEA: 033H71U4
EFIS: 0319000051
DIST-CO-RTE-PM03-BUT-70-8.8/12.1
Award Date05/09/2019
Closeout Date09/23/2021
Work DescriptionWIDEN RDWY, RDWY EX, HMA & MODIFY ELECT SYSTEM.
Location DescriptionBUTTE COUNTY NEAR OROVILLE FROM 0.1 MILE SOUTH OF PALERMO ROAD TO 0.6 MILE NORTH OF OPHIR ROAD
QA Service Level1 (Verified on 02/21/2019)

Sample Information

Sample Taken Date04/28/2019 Sample Unique Key3
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 testing04/19/2019
Sample typeQuality Control A brief description of the sampleJMF mix design data
The quantity of what the sample constitutes1 production lot From where was the sample collectedSource
First name of sampler or witnessed byJon Last name of sampler or witnessed byBlumer
Title of sampler Telephone number of sampler916-386-6985
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Materials Hallwood Transportation Laboratory (TL) Number
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)91-58-0006::HALLWOOD PLANT
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 collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2019-106-HD201905 Date Created05/28/2019
SubmittalJMF3511-11-2019-95 Submittal In Progress| JMF3513-2020-94
JMF3511-11-2019-97 Submittal Completeness in Review| JMF3513-2020-96

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-28-3-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Eric Gifford, Teichert Materials - Sacramento04/19/2019Eric Gifford
Yes
05/28/2019 Info Info
2019-04-28-3-2ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)Eric Gifford, Teichert Materials - Sacramento04/19/2019Eric Gifford
Yes
05/29/2019
2019-04-28-3-3AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Eric Gifford, Teichert Materials - Sacramento04/19/2019Eric Gifford
Yes
05/31/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-04-28-3-1 AASHTO T27-14
DIME Test ID: 2019-04-28-3-2 ASTM D4791-10 (Verified)
DIME Test ID: 2019-04-28-3-3 AASHTO T27-14 (Verified)