Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-05-22-23

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212866
DEA: 021H9704
EFIS: 0216000051
DIST-CO-RTE-PM02-TEH-36-12.6/13.1
Award Date11/25/2019
Closeout Date10/06/2020
Work DescriptionCURVE REALIGNMENT AND HMA PAVING.
Location DescriptionTEHAMA COUNTY ABOUT 16 MILES EAST OF PLATINA FROM 2.3 MILES EAST TO 2.8 MILES EAST OF DRY CREEK BRIDGE
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date05/22/2020 Sample Unique Key23
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 sampleCombined Treated 3/4-inch Type G Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byKaren Last name of sampler or witnessed bySpliethof
Title of sampler Telephone number of sampler
Laboratory sample identificationD78442 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNorthstate Asphalt, Redding, CA Transportation Laboratory (TL) Number897703
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)91-45-0057
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 collectedCold Feed
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 20-09-S1 Lot number
Sublot number JMF Verification ID JMF3513-2020-161

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-05-22-23-1AASHTO 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
07/16/2020