Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-06-25-13
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215624 DEA: 020J4004 EFIS: 0219000115 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-161-17.5/18.5 |
| Award Date | 05/11/2021 |
| Closeout Date | 09/27/2021 |
| Work Description | FULL DEPTH RECLAMATION - CEMENT AND PLACE HMA. |
| Location Description | SISKIYOU COUNTY NEAR TULELAKE FROM 0.3 MILE EAST OF MALONE ROAD TO 1.2 MILES EAST OF HILL ROAD |
| QA Service Level | 1 (Verified on 04/19/2021) |
Sample Information
| Sample Taken Date | 06/25/2021 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 06/25/2021 |
| Sample type | Acceptance | A brief description of the sample | Coldfeed 3/4" Lime Treated Agg |
| The quantity of what the sample constitutes | PSE 2 Bags at 280 Tons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Randy | Last name of sampler or witnessed by | Bibbins |
| Title of sampler | CGI | Telephone number of sampler | |
| Laboratory sample identification | D78868 | Linked DIME Sample ID | 2021-06-25-14 |
| The fabricator/manufacturer/facility name | Hat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA | Transportation Laboratory (TL) Number | 990939 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-25-0008 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Sample Device |
| Where the material sample would have been placed if not sampled | 02 SIS 161 | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Not Applicable | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2021-06-25-13-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | Terry McCormick, CT D02 - Redding Northern Regional Laboratory | 06/29/2021 | Darrell Valasek | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-06-25-13-1 AASHTO T27-14