Sample Record
Owner Lab
- CT D02 - North Region Materials Lab
DIME Sample ID 2021-06-07-21
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215251 DEA: 021J4604 EFIS: 0220000081 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-34.5/38.8,88.0/92.0 |
| Award Date | 02/02/2021 |
| Closeout Date | 09/27/2021 |
| Work Description | HMA OVERLAY, REPLACE AC SURFACING, SHOULDER BACKING & TRAFFIC STRIPE. |
| Location Description | SISKIYOU COUNTY NEAR HAPPY CAMP FROM 0.1 MILE EAST OF OAK FLAT CREEK BRIDGE TO 0.1 MILE EAST OF BENJAMIN CREEK ROAD AND FROM 0.3 MILE WEST OF BEAVER CREEK BRIDGE TO 1.0 MILE WEST OF LUMGREY CREEK BRIDGE |
| QA Service Level | 1 (Verified on 10/30/2020) |
Sample Information
| Sample Taken Date | 06/07/2021 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 06/08/2021 |
| Sample type | Acceptance | A brief description of the sample | PSE RAP |
| The quantity of what the sample constitutes | 150 Tons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | D. | Last name of sampler or witnessed by | Owens |
| Title of sampler | PEI | Telephone number of sampler | |
| Laboratory sample identification | D78835 | Linked DIME Sample ID | 2021-06-07-20 |
| The fabricator/manufacturer/facility name | Tullis Inc, Northstate Asphalt, Redding CA | Transportation Laboratory (TL) Number | 779371 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Reclaimed Asphalt Pavement | RAP Source | Unknown |
|---|---|---|---|
| Aggregate Size | 1/2-inch | Aggregate Source | Unknown |
| RAP Stockpile | Continuous | Stockpile Size (tons) | Unknown |
| HMA Design ID |