Sample Record

Owner Labs

  • CT D02 - North Region Materials Lab
  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-10-22-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212496
DEA: 024E4504
EFIS: 0200020286
DIST-CO-RTE-PM02-LAS,MOD-139,299-VAR
Award Date07/28/2020
Closeout DateNot set
Work DescriptionPLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS.
Location DescriptionLASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87
QA Service Level1 (Verified on 06/06/2017)

Sample Information

Sample Taken Date10/22/2020 Sample Unique Key14
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 testing10/22/2020
Sample typeVerification A brief description of the sample3/4″ Sized Untreated Virgin Aggregate
The quantity of what the sample constitutesAnnual Source Testing From where was the sample collectedSource
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of sampler Telephone number of sampler
Laboratory sample identificationD78684A Linked DIME Sample ID
The fabricator/manufacturer/facility nameShaw Pit Transportation Laboratory (TL) Number853335
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)91-25-0008
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 collectedSized Untreated Aggregate Stockpile
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 JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-22-14-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Dennis HickeyCT D02 - North Region Materials Lab10/26/2020Ward Jenkins
Yes
11/13/2020
2020-10-22-14-2AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Bang NguyenCT HQ - Sacramento Aggregate Testing Laboratory12/07/2020Bang Nguyen
Yes
12/07/2020