Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-05-19-39

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215252
DEA: 021J4704
EFIS: 0220000082
DIST-CO-RTE-PM02-TRI-3-46.7/49.8,63.8/67.704
Award Date12/18/2020
Closeout Date09/30/2021
Work DescriptionHMA OVERLAY, REPLACE AC SURFACING AND SHOULDER BACKING.
Location DescriptionTRINITY COUNTY NEAR TRINITY CENTER FROM 0.7 MILE NORTH OF CEDAR STOCK ROAD TO DIENER MINE VIADUCT AND FROM 2.3 MILES NORTH OF EL DORADO WAY TO COFFEE CREEK BRIDGE NO. 05-0060
QA Service Level1 (Verified on 10/30/2020)

Sample Information

Sample Taken Date05/19/2021 Sample Unique Key39
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 testing05/19/2021
Sample typeAcceptance A brief description of the sampleCombined Treated Virgin 3/8-inch Type A Aggreagte
The quantity of what the sample constitutesProduction Start-Up Evaluation From where was the sample collectedManufacturer
First name of sampler or witnessed byDarrell Last name of sampler or witnessed byValasek
Title of sampler Telephone number of sampler
Laboratory sample identificationD78805A Linked DIME Sample ID
The fabricator/manufacturer/facility nameJF Shea Construction - Fawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number002574
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 sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedCold Feed
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberJMF 20-13-P01 Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-19-39-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)K.Rios Dorado and McCormickCT D02 - North Region Materials Lab05/20/2021Ward Jenkins
Yes
07/26/2021