Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-06-25-48

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout DateNot set
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date06/25/2020 Sample Unique Key48
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 testing06/25/2020
Sample typeAcceptance A brief description of the sample3/4" Shoulder Backing
The quantity of what the sample constitutesnot provided From where was the sample collectedJob Site
First name of sampler or witnessed byD Last name of sampler or witnessed byHarper
Title of sampler Telephone number of sampler
Laboratory sample identificationD78495 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJF Shea Fawndale Transportation Laboratory (TL) Number717974
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)91-45-0017
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 collectedFawndale Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 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
2020-06-25-48-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesTerry McCormickCT D02 - North Region Materials Lab06/25/2020Michael Antonetti
Yes
10/22/2020
2020-06-25-48-2CTM 217-June 2011: Method of Test for Sand EquivalentArthur MillsCT D02 - North Region Materials Lab06/25/2020Michael Antonetti
Yes
10/22/2020
2020-06-25-48-3CTM 229-June 2011: Method of Test for Durability IndexArthur MillsCT D02 - North Region Materials Lab06/25/2020Michael Antonetti
Yes
10/22/2020
2020-06-25-48-4CTM 205-December 2010: Method of Test for Determining Percentage of Crushed ParticlesArthur MillsCT D02 - North Region Materials Lab06/25/2020Michael Antonetti
Yes
10/22/2020Coarse 1 face
2020-06-25-48-5CTM 205-December 2010: Method of Test for Determining Percentage of Crushed ParticlesArthur MillsCT D02 - North Region Materials Lab06/25/2020Michael Antonetti
Yes
10/22/2020Coarse 2 Face