Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-10-29-27
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214515 DEA: 024F6004 EFIS: 0213000012 |
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DIST-CO-RTE-PM | 02-SIS,TRI-36,96,299-VAR |
Award Date | 01/14/2020 |
Closeout Date | 08/24/2022 |
Work Description | BRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT. |
Location Description | SISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
Sample Taken Date | 10/29/2020 | Sample Unique Key | 27 |
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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 | 10/29/2020 |
Sample type | Verification | A brief description of the sample | 3/8" Sized Untreated Virgin Aggreagte |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Source |
First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | D78689B | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Mercer-Fraser Company, Willow Creek Plant | Transportation Laboratory (TL) Number | 853340 |
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) | 91-12-0007 |
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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 collected | Stockpile | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
The concrete mix design number | JMF 20-11-S3 | Lot number | |
Sublot number | Aggregate Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2021-40 | Date Created | 04/02/2021 |
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JMF Submittal ID | JMF3511-22-2021-52 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | L202327 | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-10-29-27-1 AASHTO T27-14 (Verified)