Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-07-01-42
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Project Information
| Project Identifiers | Project ID: 214685 DEA: 024E46U4 EFIS: 0216000122 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-36-6.0/14.6 |
| Award Date | 05/08/2020 |
| Closeout Date | 08/14/2023 |
| Work Description | REPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK. |
| Location Description | LASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 07/01/2020 | Sample Unique Key | 42 |
|---|---|---|---|
| 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 | 07/02/2020 |
| Sample type | Verification | A brief description of the sample | Treated Virgin 3/4-inch Type A Aggregate |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Delgado |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78502A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Ward Lake Plant | Transportation Laboratory (TL) Number | 896802 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-18-0008 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Cold Feed |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | JMF 20-08-S2 | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-212 | Date Created | 10/30/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2020-301 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | 20-1278.120-0.75inch_HMA | Rejected Date | 11/17/2020 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-01-42-1 AASHTO T27-14 (Verified)