Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-07-22-32
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Project Information
| Project Identifiers | Project ID: 215483 DEA: 022J0004 EFIS: 0221000017 |
|---|---|
| DIST-CO-RTE-PM | 02-PLU-49-0.0/7.5 |
| Award Date | 04/05/2021 |
| Closeout Date | 11/24/2021 |
| Work Description | PLACE HOT MIX ASPHALT (TYPE A). |
| Location Description | PLUMAS COUNTY AT AND NEAR VINTON FROM SIERRA COUNTY LINE TO ROUTE 70 |
| QA Service Level | 1 (Verified on 03/08/2021) |
Sample Information
| Sample Taken Date | 07/22/2021 | 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 | 07/23/2021 |
| Sample type | Department Acceptance | A brief description of the sample | PSE 3/4 Cold Feed |
| The quantity of what the sample constitutes | PSE | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Erik | Last name of sampler or witnessed by | Benson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78910 | Linked DIME Sample ID | 2021-07-22-33 |
| The fabricator/manufacturer/facility name | Western NV Materials, Spanish Springs | Transportation Laboratory (TL) Number | 996941 |
| 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) | Spanish Springs |
|---|---|---|---|
| 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 | Sampler at drum |
| Where the material sample would have been placed if not sampled | 02 PLU 49 | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | Unknown | |
| Sublot number | Unknown | 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: 2021-07-22-32-1 AASHTO T27-14 (Verified)