Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-06-08-19

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 Date09/27/2021
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 Date06/08/2021 Sample Unique Key19
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 testing06/08/2021
Sample typeAcceptance A brief description of the sample1 1/2 Inch shoulder Backing
The quantity of what the sample constitutes 3 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byJohn Last name of sampler or witnessed byCarmichael
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD78836 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJ F Shea Construction Inc - Fawndale Rock and Asphalt - Redding CA Transportation Laboratory (TL) Number779373
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 sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampled02 SIS 89 Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-08-19-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesTerry McCormickCT D02 - North Region Materials Lab06/10/2021Darrell Valasek
No
Info
2021-06-08-19-2CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerTerry McCormickCT D02 - North Region Materials Lab06/16/2021Darrell Valasek
No
Info
2021-06-08-19-3CTM 205-December 2010: Method of Test for Determining Percentage of Crushed ParticlesDarrell ValasekCT D02 - North Region Materials Lab06/16/2021Darrell Valasek
No
Info
2021-06-08-19-4CTM 205-December 2010: Method of Test for Determining Percentage of Crushed ParticlesTerry McCormickCT D02 - North Region Materials Lab06/16/2021Darrell Valasek
No
Did not need to test fine aggregate Info
2021-06-08-19-5CTM 217-June 2011: Method of Test for Sand EquivalentColt SweenyCT D02 - North Region Materials Lab06/14/2021Darrell Valasek
No
Info
2021-06-08-19-6CTM 229-June 2011: Method of Test for Durability IndexTerry McCormickCT D02 - North Region Materials Lab06/16/2021Darrell Valasek
No
Info
2021-06-08-19-7CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)Terry McCormickCT D02 - North Region Materials Lab06/17/2021Darrell Valasek
No
Info