Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-05-24-55

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215424
DEA: 024G4404
EFIS: 0214000013
DIST-CO-RTE-PM02-SIS-3-38.0/38.6
Award Date03/22/2021
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionSISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD
QA Service Level1 (Verified on 01/19/2021)

Sample Information

Sample Taken Date05/24/2021 Sample Unique Key55
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 testing05/24/2021
Sample typeVerification A brief description of the sampleTreated 3/4-inch Type A Virgin Aggregate
The quantity of what the sample constitutesVerification of JMF 21-04-S01 From where was the sample collectedManufacturer
First name of sampler or witnessed byDevin Last name of sampler or witnessed byOwens
Title of sampler Telephone number of sampler
Laboratory sample identificationD78807A Linked DIME Sample ID
The fabricator/manufacturer/facility nameTullis - Nortstate Asphalt, Redding, CA Transportation Laboratory (TL) Number897294
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)91-45-0057
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 Size3/4 inch
The concrete mix design numberJMF 21-04-S01 Lot number
Sublot number JMF Verification ID JMF3513-2021-64, JMF3513-2021-70

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-24-55-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)C. Sweeny and T. McCormickCT D02 - North Region Materials Lab05/27/2021Ward Jenkins
Yes
08/03/2021