Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2020-07-01-37

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214685
DEA: 024E46U4
EFIS: 0216000122
DIST-CO-RTE-PM02-LAS-36-6.0/14.6
Award Date05/08/2020
Closeout Date08/14/2023
Work DescriptionREPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK.
Location DescriptionLASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date07/01/2020 Sample Unique Key37
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 testing07/02/2020
Sample typeVerification A brief description of the sample3/4″ Sized Untreated Virgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedSource
First name of sampler or witnessed byJoe Last name of sampler or witnessed byDelgado
Title of sampler Telephone number of sampler
Laboratory sample identificationD78503A Linked DIME Sample ID
The fabricator/manufacturer/facility nameWard Lake Pit Transportation Laboratory (TL) Number896803
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)91-18-0008
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedSized Untreated Aggregate Stockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 20-08-S2 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-212 Date Created10/30/2020
JMF Submittal IDJMF3511-22-2020-301 JMF StatusSubmittal Rejected For Use
Producer Mix ID20-1278.120-0.75inch_HMA Rejected Date11/17/2020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-01-37-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Dennis Hickey and A. Mills, CT D02 - Redding Northern Regional Laboratory07/03/2020Ward Jenkins
Yes
11/02/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-07-01-37-1 AASHTO T27-14 (Verified)