Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-04-08-8
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Project Information
| Project Identifiers | Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R3.8/R11.7 |
| Award Date | 11/06/2018 |
| Closeout Date | 08/16/2023 |
| Work Description | WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB |
| Location Description | SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 04/08/2020 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 testing | 04/08/2020 |
| Sample type | Verification | A brief description of the sample | Plant Sand, Untreated Sized Virgin Aggregate |
| The quantity of what the sample constitutes | JMF Renewal | From where was the sample collected | Source |
| First name of sampler or witnessed by | Karen | Last name of sampler or witnessed by | Spliethof |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78377C | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Fawndale Rock Quarry | Transportation Laboratory (TL) Number | 897564 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0017::FAWNDALE ROCK QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Sized Untreated Aggregate Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | JMF 19-12-R1 | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-129 | Date Created | 05/19/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2020-201 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 19-1001.318-B | Authorized Date | 05/26/2020 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-08-8-1 AASHTO T27-14 (Verified)