Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-06-10-29
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214589 DEA: 020J1604 |
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DIST-CO-RTE-PM | 02-PLU-284-0.0/8.3 |
Award Date | 02/11/2020 |
Closeout Date | 10/06/2020 |
Work Description | PLACE HMA (TYPE A), PRECOATED AGGREGATE (SEAL COAT), HMA (LEVELING). |
Location Description | PLUMAS COUNTY NEAR CHILCOOT FROM ROUTE 70 TO 1 MILE NORTH OF LITTLE LAST CHANCE CREEK BRIDGE NUMBER 09-0072 |
QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
Sample Taken Date | 06/10/2020 | Sample Unique Key | 29 |
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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 | 06/11/2020 |
Sample type | Verification | A brief description of the sample | 3/8″ Sized Untreated Virgin Aggregate |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Source |
First name of sampler or witnessed by | CGI | Last name of sampler or witnessed by | CGI |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | D78468B 20-05 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Ward Lake Pit | Transportation Laboratory (TL) Number | 896983 |
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) | 91-18-0008 |
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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 | 1/2 inch |
The concrete mix design number | JMF 20-05-S1a | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-155 | Date Created | 07/06/2020 |
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JMF Submittal ID | JMF3511-22-2020-231 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | 19-1278.117-0.375HMA | Authorized Date | 07/10/2020 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-06-10-29-1 AASHTO T27-14 (Verified)