Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2021-04-13-30

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 Date04/13/2021 Sample Unique Key30
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 testing04/14/2021
Sample typeVerification A brief description of the sampleWashed Dust Sized Untreated Aggregate
The quantity of what the sample constitutesJMF Verification 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 identificationD78777D Linked DIME Sample ID
The fabricator/manufacturer/facility nameShaw Pit - Lookout, CA Transportation Laboratory (TL) Number858619
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 collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/4 inch
The concrete mix design numberJMF21-03-S01 Lot number
Sublot number Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-57 Date Created06/08/2021
JMF Submittal IDJMF3511-22-2021-70 JMF StatusSubmittal Accepted for Verification
Producer Mix ID20-1278.123 Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-13-30-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Karen Rios DoradoCT D02 - Redding Northern Regional Laboratory04/14/2021Ward Jenkins
Yes
06/08/2021
2021-04-13-30-2AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Bang Nguyen/ Ryan KesterCT HQ - Sacramento Aggregate Testing Laboratory07/01/2021Bang Nguyen
Yes
07/01/2021

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-04-13-30-1 AASHTO T27-14 (Verified)
DIME Test ID: 2021-04-13-30-2 AASHTO T104-99r16 (Verified)