Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2021-03-12-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214900
DEA: 034F8104
EFIS: 0314000291
DIST-CO-RTE-PM03-GLE-32-L0.0/R0.3,0.1/0.9
Award Date06/15/2020
Closeout Date06/29/2021
Work DescriptionCONSTRUCT SIDEWALKS, CURB RAMPS, & DRIVEWAYS.
Location DescriptionGLENN COUNTY IN ORLAND AT VARIOUS LOCATIONS FROM ROUTE 5 SOUTHBOUND OFF RAMP TO ROUTE 32 TO NINTH STREET/TEHAMA STREET AND FROM FOURTH STREET TO WOODWARD AVENUE
QA Service Level1 (Verified on 04/15/2020)

Sample Information

Sample Taken Date03/12/2021 Sample Unique Key12
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 testing03/12/2021
Sample typeVerification A brief description of the sample3/4" sized untreated virgin aggregates
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byBrad McKeehan (WITNESS) Last name of sampler or witnessed byKRC Personnel (SAMPLER)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF21-003 Linked DIME Sample ID
The fabricator/manufacturer/facility nameKnife River Construction - Orland Drum Plant Transportation Laboratory (TL) NumberC778174
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)91-11-0007
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 collectedCold Feed
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 Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-38 Date Created04/01/2021
JMF Submittal IDJMF3511-23-2021-50 JMF StatusSubmittal Authorized For Use
Producer Mix IDOR-22771000 Authorized Date09/10/2021

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-12-12-11AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory02/03/2021Kavon Rastegar
Yes
04/01/2021JMF21-003. Thomas Stinnett

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-03-12-12-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-03-12-12-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-03-12-12-3 AASHTO T176-08 (Verified)
DIME Test ID: 2021-03-12-12-4 AASHTO T304-11 (Verified)
DIME Test ID: 2021-03-12-12-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-03-12-12-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2021-03-12-12-7 AASHTO T85-13 (Verified)
DIME Test ID: 2021-03-12-12-8 AASHTO T84-14 (Verified)
DIME Test ID: 2021-03-12-12-9 AASHTO T27-14 (Verified)
DIME Test ID: 2021-03-12-12-10 ASTM D4791-10 (Verified)
DIME Test ID: 2021-03-12-12-11 AASHTO T84-14 (Verified)