Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-06-19-17
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Project Information
| Project Identifiers | Project ID: 214528 DEA: 024G5404 EFIS: 0214000024 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-36-40.3/42.1 |
| Award Date | 01/08/2020 |
| Closeout Date | 09/15/2021 |
| Work Description | PLACE HMA AND MINOR CONCRETE, AND MODIFY ELECTRICAL SYSTEM. |
| Location Description | TEHAMA COUNTY IN RED BLUFF FROM 0.6 MILE EAST OF BAKER ROAD TO 0.2 MILE EAST OF EAST SAND SLOUGH BRIDGE |
| QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
| Sample Taken Date | 06/19/2020 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 06/19/2020 |
| Sample type | Verification | A brief description of the sample | 1/2-inch Type A Treated Virgin Aggreagte |
| The quantity of what the sample constitutes | JMF Verification Renewal | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | D78493A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Northstate Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 853464 |
| 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) | 91-45-0057 |
|---|---|---|---|
| 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 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 | JMF 19-11-R1 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-167 | Date Created | 07/28/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2020-244 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | L190860 | Authorized Date | 07/29/2020 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-06-19-17-1 AASHTO T27-14 (Verified)