Sample Record

Owner Labs

  • CT D02 - North Region Materials Lab
  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-05-21-32

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214725
DEA: 020J1304
EFIS: 0219000064
DIST-CO-RTE-PM02-LAS-139-43.0/53.0
Award Date04/10/2020
Closeout Date10/06/2020
Work DescriptionCOLD IN-PLACE RECYCLING AND PLACE HMA (TYPE A).
Location DescriptionLASSEN COUNTY ABOUT 42 MILES NORTH OF SUSANVILLE FROM 3.8 MILES NORTH OF SLATE CREEK TO 4.7 MILES SOUTH OF WILLOW CREEK RANCH ROAD
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date05/21/2020 Sample Unique Key32
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 testing05/22/2020
Sample typeVerification A brief description of the sample3/8-inch Untreated Sized Virgin Aggregate
The quantity of what the sample constitutesJMF Verification Renewal From where was the sample collectedSource
First name of sampler or witnessed byJimmy Last name of sampler or witnessed byMontana
Title of sampler Telephone number of sampler
Laboratory sample identificationD78440B Linked DIME Sample ID
The fabricator/manufacturer/facility nameShaw Pit Transportation Laboratory (TL) Number733194
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)91-25-0008
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 collectedUntreated Sized Aggregate Stockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberJMF 19-05-R1 Lot numberUnknown
Sublot numberUnknown JMF Verification ID JMF3513-2020-158

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-05-21-32-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)K. Spliethof and McCormickCT D02 - North Region Materials Lab05/23/2020Ward Jenkins
Yes
07/13/2020
2020-05-21-32-2AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Bang NguyenCT HQ - Sacramento Aggregate Testing Laboratory08/05/2020Bang Nguyen
Yes
08/05/2020