Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2019-04-25-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210808
DEA: 020E0904
EFIS: 0200000016
DIST-CO-RTE-PM02-SHA-5-R29.3/R31.1,R45.0/R45.8
Award Date02/03/2016
Closeout Date10/21/2020
Work DescriptionREPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT
Location DescriptionIN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE.
QA Service Level1 (Verified on 09/23/2015)

Sample Information

Sample Taken Date04/25/2019 Sample Unique Key15
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 testing04/25/2019
Sample typeVerification A brief description of the sample3/4-inch Type A Treated Virgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byJosh Last name of sampler or witnessed byWilliams
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD77852A Linked DIME Sample ID
The fabricator/manufacturer/facility nameNorthstate Asphalt Transportation Laboratory (TL) Number001902
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-45-0057::SHASTA RANCH AGGREGATES
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleL190276
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 19-09-S1 Lot number0
Sublot number0 JMF Verification ID JMF3513-2019-63

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-25-15-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Darrell ValasekCT D02 - North Region Materials Lab04/26/2019Ward Jenkins
Yes
05/29/2019