Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-06-15-32

Project Information

Project IdentifiersProject ID: 215441
DEA: 021J5204
EFIS: 0220000087
DIST-CO-RTE-PM02-MOD,SIS-139-34.0/50.7,0.0/5.0
Award Date03/02/2021
Closeout Date09/27/2021
Work DescriptionPLACE ASPHALT RUBBER BINDER CHIP SEAL & REPLACE AC SURFACING.
Location DescriptionMODOC AND SISKIYOU COUNTIES AT AND NEAR NEWELL FROM 3.3 MILES NORTH OF PEREZ OVERHEAD TO ROUTE 161
QA Service Level1 (Verified on 02/01/2021)

Sample Information

Sample Taken Date06/15/2021 Sample Unique Key32
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 testing06/16/2021
Sample typeAcceptance A brief description of the sample3/8 Inch Uncoated Chips for Chip Seal
The quantity of what the sample constitutes2 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 identificationD78845 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA Transportation Laboratory (TL) Number990927
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 sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedSamplimg Device at Plant
Where the material sample would have been placed if not sampled02 SIS 139 Primary Aggregate Nominal Size1/2 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
2021-06-15-32-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesTerry McCormickCT D02 - North Region Materials Lab06/17/2021Darrell Valasek
No
Info
2021-06-15-32-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Karen DoradoCT D02 - North Region Materials Lab06/18/2021Darrell Valasek
No
Info
2021-06-15-32-3CTM 229-June 2011: Method of Test for Durability IndexKaren DoradoCT D02 - North Region Materials Lab06/18/2021Darrell Valasek
No
Info
2021-06-15-32-4CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineTerry McCormickCT D02 - North Region Materials Lab06/17/2021Darrell Valasek
No
Info
2021-06-15-32-5ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)Dennis HickeyCT D02 - North Region Materials Lab06/17/2021Darrell Valasek
No
Info
2021-06-15-32-6AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Dennis HickeyCT D02 - North Region Materials Lab06/17/2021Darrell Valasek
No
Info
2021-06-15-32-7AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Dennis HickeyCT D02 - North Region Materials Lab06/17/2021Darrell Valasek
No
Info