Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2019-04-29-12

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 Date04/29/2019 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 testing04/29/2019
Sample typeVerification A brief description of the sample3/4-inch Untreated 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 sampler Telephone number of sampler
Laboratory sample identificationD77857A_19-CHMA-0097 Linked DIME Sample ID
The fabricator/manufacturer/facility nameShaw pit Transportation Laboratory (TL) Number001581
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)91-25-0008::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 collectedSized Untreated Aggregate Stockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 19-04-S2 Lot number0
Sublot number0 JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-29-12-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab04/30/2019Ward Jenkins
Yes
05/30/2019
2019-04-29-12-2AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Jay HortonCT HQ - Sacramento Aggregate Testing Laboratory06/27/2019Bang Nguyen
Yes
06/28/2019