Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-06-02-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215245
DEA: 021J4504
EFIS: 0220000080
DIST-CO-RTE-PM02-SIS-89-14.0/19.0
Award Date12/08/2020
Closeout DateNot set
Work DescriptionPLACE HMA (TYPE A).
Location DescriptionSISKIYOU COUNTY ABOUT 6 MILES NORTH OF BARTLE FROM 0.4 MILE NORTH OF EDISON CREEK ACCESS ROAD TO 2.0 MILES SOUTH OF MUD CREEK BRIDGE
QA Service Level1 (Verified on 10/23/2020)

Sample Information

Sample Taken Date06/02/2021 Sample Unique Key6
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 testing06/02/2021
Sample typeAcceptance A brief description of the sampleTreated Virgin 3/8-inch Type A Aggregate
The quantity of what the sample constitutesProduction Start-Up Evaluation From where was the sample collectedManufacturer
First name of sampler or witnessed byRandy Last name of sampler or witnessed by.
Title of samplerCGI Telephone number of sampler
Laboratory sample identificationD78819A Linked DIME Sample ID2021-06-02-7
The fabricator/manufacturer/facility nameJF Shea Construction, Fawndale Rock and Asphalt, Redding, CA Transportation Laboratory (TL) Number858980
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)91-45-0017
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 collectedSampling device at plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-02-6-1THIS TEST HAS BEEN SUPERSEDED.
AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Terry McCormickCT D02 - North Region Materials Lab06/04/2021Darrell Valasek
Yes
08/19/2021THIS TEST HAS BEEN SUPERSEDED.
2021-06-02-6-2AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Rios Dorado, Sweeny, and TMCT D02 - North Region Materials Lab08/23/2021Ward Jenkins
Yes
08/23/2021