Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-05-18-57
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Project Information
| Project Identifiers | Project ID: 214515 DEA: 024F6004 EFIS: 0213000012 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS,TRI-36,96,299-VAR |
| Award Date | 01/14/2020 |
| Closeout Date | 08/24/2022 |
| Work Description | BRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT. |
| Location Description | SISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
| Sample Taken Date | 05/18/2021 | Sample Unique Key | 57 |
|---|---|---|---|
| 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 | 05/18/2021 |
| Sample type | Verification | A brief description of the sample | Hot Bin 2 Sized Treated Aggreagte |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78803B | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Mercer-Fraser Company, Willow Creek Plant | Transportation Laboratory (TL) Number | 815634 |
| 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) | 91-12-0007 |
|---|---|---|---|
| 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 | Hot Bins | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | JMF 20-11-S04 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-63 | Date Created | 07/23/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2021-80 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | L202327 | Rejected Date | 07/26/2021 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-05-18-57-1 AASHTO T27-14 (Verified)