Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-05-21-36
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Project Information
| Project Identifiers | Project ID: 214725 DEA: 020J1304 EFIS: 0219000064 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-139-43.0/53.0 |
| Award Date | 04/10/2020 |
| Closeout Date | 10/06/2020 |
| Work Description | COLD IN-PLACE RECYCLING AND PLACE HMA (TYPE A). |
| Location Description | LASSEN 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 Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 05/21/2020 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 05/22/2020 |
| Sample type | Verification | A brief description of the sample | Combined 1/2-inch Type A Treated Virgin Aggregate |
| The quantity of what the sample constitutes | JMF Verification Renewal | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jimmy | Last name of sampler or witnessed by | Montana |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78438A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Shaw Pit Facility | Transportation Laboratory (TL) Number | 733196 |
| 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) | 91-25-0008 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Cold Feed | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | JMF19-05-R1 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-158 | Date Created | 07/10/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2020-233 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | 19-1278.105B | Rejected Date | 07/17/2020 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-05-21-36-1 AASHTO T27-14 (Verified)