Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-05-26-23

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214516
DEA: 024H2404
EFIS: 0218000098
DIST-CO-RTE-PM02-TRI-3-32.0/38.0,53.7/63.8
Award Date12/23/2019
Closeout Date02/18/2021
Work DescriptionPLACE HMA (TYPE A) OVERLAY, SHOULDER BACKING, AND TRAFFIC STRIPE.
Location DescriptionTRINITY COUNTY NEAR WEAVERVILLE FROM 0.4 MILE NORTH OF BROWNS RANCH ROAD TO 0.1 MILE NORTH OF RUSH CREEK ROAD AND FROM EAST FORK STUART BRIDGE TO 2.4 MILES NORTH OF EL DORADO WAY
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date05/26/2020 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 testing05/26/2020
Sample typeAcceptance A brief description of the sample3/8" HMA Aggregate
The quantity of what the sample constitutesnot identified From where was the sample collectedManufacturer
First name of sampler or witnessed byD Last name of sampler or witnessed byHarper
Title of sampler Telephone number of sampler
Laboratory sample identificationD78448 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTullis Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) Number
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)91-45-0061 LATONA AGGREGATES
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 collectedSample Device
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-05-26-23-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Arthur MillsCT D02 - North Region Materials Lab05/26/2020Michael Antonetti
Yes
09/29/2020