Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2020-06-02-28

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214513
DEA: 021H3904
EFIS: 0216000041
DIST-CO-RTE-PM02-SHA-5-R32.0/R32.3
Award Date01/24/2020
Closeout Date09/28/2021
Work DescriptionO'BRIEN DECK AND RAIL REHAB: WEATHER INFO SYSTEM, STRUCTURAL CONCRETE, HMA, REMOVE BRIDGE BARRIER.
Location DescriptionSHASTA COUNTY ABOUT 10 MILES SOUTH OF LAKEHEAD FROM 0.1 MILE SOUTH TO 0.3 MILE NORTH OF O'BRIEN UNDERCROSSING
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date06/02/2020 Sample Unique Key28
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 testing06/02/2020
Sample typeVerification A brief description of the sample3/8" Sized Untreated Aggregate
The quantity of what the sample constitutesJMF Verification Renewal From where was the sample collectedManufacturer
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byOrtiz
Title of sampler Telephone number of sampler
Laboratory sample identificationD78453B Linked DIME Sample ID
The fabricator/manufacturer/facility nameNorthstate Asphalt, Redding, CA Transportation Laboratory (TL) Number036436
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate 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 collectedSized Untreated Aggregate Stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberJMF 19-08-R1 Lot number
Sublot number Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-172 Date Created07/31/2020
JMF Submittal IDJMF3511-22-2020-251 JMF StatusSubmittal Authorized For Use
Producer Mix IDL190278 Authorized Date08/17/2020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-02-28-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormick, CT D02 - Redding Northern Regional Laboratory06/04/2020Ward Jenkins
Yes
07/31/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-06-02-28-1 AASHTO T27-14 (Verified)