Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-07-13-7

Project Information

Project IdentifiersProject ID: 215127
DEA: 024G5304
EFIS: 0214000023
DIST-CO-RTE-PM02-LAS,SHA,TEH-5,32,36,44,299-VAR
Award DateNot set
Closeout DateNot set
Work DescriptionDITCH EXCAVATION, DEVELOP TEMP CREEK DIVERSION SYSTEM, AND PLACE RSP. DISTRICT WIDE SCOUR COUNTER-MEASURES.
Location DescriptionLASSEN, SHASTA, AND TEHAMA COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 08/26/2020)

Sample Information

Sample Taken Date07/13/2021 Sample Unique Key7
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 testing07/13/2021
Sample typeAcceptance A brief description of the sample3/4" Class II AB
The quantity of what the sample constitutes2 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byTerry Last name of sampler or witnessed bySchmit
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD78896 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJ F Shea Construction Inc - Fawndale Rock and Asphalt - Redding CA Transportation Laboratory (TL) Number896907
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 collectedJ.F. Shea Fawndale
Where the material sample would have been placed if not sampled02 SHA 299 Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberNot Applicable Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-13-7-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesTerry McCormickCT D02 - North Region Materials Lab07/14/2021Darrell Valasek
No
Info
2021-07-13-7-2CTM 217-June 2011: Method of Test for Sand EquivalentTerry McCormickCT D02 - North Region Materials Lab07/14/2021Darrell Valasek
No
Info