Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-05-14-32
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215441 DEA: 021J5204 EFIS: 0220000087 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD,SIS-139-34.0/50.7,0.0/5.0 |
| Award Date | 03/02/2021 |
| Closeout Date | 09/27/2021 |
| Work Description | PLACE ASPHALT RUBBER BINDER CHIP SEAL & REPLACE AC SURFACING. |
| Location Description | MODOC AND SISKIYOU COUNTIES AT AND NEAR NEWELL FROM 3.3 MILES NORTH OF PEREZ OVERHEAD TO ROUTE 161 |
| QA Service Level | 1 (Verified on 02/01/2021) |
Sample Information
| Sample Taken Date | 05/14/2021 | Sample Unique Key | 32 |
|---|---|---|---|
| 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 | 05/17/2021 |
| Sample type | Acceptance | A brief description of the sample | 3/8″ Chips for Use in ARB Chip Seal |
| The quantity of what the sample constitutes | Half-Day to Whole Project | From where was the sample collected | Source |
| First name of sampler or witnessed by | Danny | Last name of sampler or witnessed by | Hansen |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78797 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hat Creek Construction and Materials - Shaw Pit - Lookout, CA | Transportation Laboratory (TL) Number | 897293 |
| 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 | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-05-14-32-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-05-14-32-2 CTM 211-May 2010 (Verified)
DIME Test ID: 2021-05-14-32-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2021-05-14-32-4 CTM 229-June 2011 (Verified)