Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-04-08-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214190
DEA: 024G41U4
EFIS: 0218000047
DIST-CO-RTE-PM02-SIS,SIS-5-Var
Award Date08/26/2019
Closeout Date11/24/2021
Work DescriptionREPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL.
Location DescriptionSHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING
QA Service Level1 (Verified on 07/09/2019)

Sample Information

Sample Taken Date04/08/2020 Sample Unique Key18
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 Aggregate (Treated Virgin)
The quantity of what the sample constitutes750 Tons 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 identificationD78390A Linked DIME Sample ID
The fabricator/manufacturer/facility nameFawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number036603
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 18-03-XXXm Lot numberUnknown
Sublot numberUnknown HMA Design ID JMF3513-2020-94

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-08-18-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Colt SweenyCT D02 - North Region Materials Lab04/20/2020Ward Jenkins
Yes
06/16/2020