Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-05-29-38
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214250 DEA: 021H3204 EFIS: 0215000126 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-99-12.0/12.6 |
| Award Date | 10/09/2019 |
| Closeout Date | 11/01/2021 |
| Work Description | CONSTRUCT CURB RAMPS AND SIDEWALKS. |
| Location Description | TEHAMA COUNTY AT LOS MOLINOS FROM JOSEPHINE STREET TO LOS MOLINOS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 07/22/2019) |
Sample Information
| Sample Taken Date | 05/29/2020 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 | 05/29/2020 |
| Sample type | Acceptance | A brief description of the sample | Shoulder Backing |
| The quantity of what the sample constitutes | not provided | 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 | D78449 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Tullis Northstate Asphalt | Transportation Laboratory (TL) Number | 853460 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA or name of Pit) | Tullis - Northstate Asphalt |
|---|---|---|---|
| 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 | Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-05-29-38-2 CTM 212-May 2010 (Verified)