Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2020-04-08-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout Date08/16/2023
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date04/08/2020 Sample Unique Key8
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 testing04/08/2020
Sample typeVerification A brief description of the samplePlant Sand, Untreated Sized Virgin Aggregate
The quantity of what the sample constitutesJMF Renewal From where was the sample collectedSource
First name of sampler or witnessed byKaren Last name of sampler or witnessed bySpliethof
Title of sampler Telephone number of sampler
Laboratory sample identificationD78377C Linked DIME Sample ID
The fabricator/manufacturer/facility nameFawndale Rock Quarry Transportation Laboratory (TL) Number897564
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)91-45-0017::FAWNDALE ROCK QUARRY
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 collectedSized Untreated Aggregate Stockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberJMF 19-12-R1 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-129 Date Created05/19/2020
JMF Submittal IDJMF3511-22-2020-201 JMF StatusSubmittal Authorized For Use
Producer Mix ID19-1001.318-B Authorized Date05/26/2020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-08-8-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Karen Spliethof, CT D02 - Redding Northern Regional Laboratory04/09/2020Ward Jenkins
Yes
05/19/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-04-08-8-1 AASHTO T27-14 (Verified)