Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-06-10-31
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Project Information
| Project Identifiers | Project ID: 214589 DEA: 020J1604 |
|---|---|
| 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 | 31 |
|---|---|---|---|
| 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 | Washed Dust 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 | D78468C 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 |
|---|---|---|---|
| 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 | 1/4 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-06-10-31-1 AASHTO T27-14 (Verified)