Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-04-15-20

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 DateNot set
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 Date04/15/2020 Sample Unique Key20
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 testing04/15/2020
Sample typeAcceptance A brief description of the sample3/4-inch Type G Treated Aggregate
The quantity of what the sample constitutesProduction Start-Up Evaluation From where was the sample collectedManufacturer
First name of sampler or witnessed byKaren Last name of sampler or witnessed bySpliethof
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD78388 Linked DIME Sample ID
The fabricator/manufacturer/facility nameFawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number897574
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)91-45-0017::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 collectedCold Feed
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 19-30-P2 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-15-20-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)NRML-RCT D02 - North Region Materials Lab04/17/2020Ward Jenkins
Yes
06/05/2020