Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2020-04-03-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214516
DEA: 024H2404
EFIS: 0218000098
DIST-CO-RTE-PM02-TRI-3-32.0/38.0,53.7/63.8
Award Date12/23/2019
Closeout Date02/18/2021
Work DescriptionPLACE HMA (TYPE A) OVERLAY, SHOULDER BACKING, AND TRAFFIC STRIPE.
Location DescriptionTRINITY COUNTY NEAR WEAVERVILLE FROM 0.4 MILE NORTH OF BROWNS RANCH ROAD TO 0.1 MILE NORTH OF RUSH CREEK ROAD AND FROM EAST FORK STUART BRIDGE TO 2.4 MILES NORTH OF EL DORADO WAY
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date04/03/2020 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 testing04/03/2020
Sample typeVerification A brief description of the sample3/8-inch Type A Untreated Virgin Aggregate
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 identificationD78371A Linked DIME Sample ID2020-04-03-16
The fabricator/manufacturer/facility nameTullis Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) Number853452
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 sampleL200135 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedCold Feed from Diverted Belt at Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberJMF 20-01-S1 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-118 Date Created05/01/2020
JMF Submittal IDJMF3511-22-2020-195 JMF StatusSubmittal Rejected For Use
Producer Mix IDL200135 Rejected Date05/18/2020

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-03-15-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Dennis HickeyCT D02 - Redding Northern Regional Laboratory04/04/2020Ward Jenkins
Yes
05/04/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-04-03-15-1 AASHTO T27-14 (Verified)