Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-08-25-34

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout DateNot set
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date08/25/2021 Sample Unique Key34
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 testing08/25/2021
Sample typeAcceptance A brief description of the sample3/4 Inch combined lime treated Coldfeed and RAP
The quantity of what the sample constitutesPSE 3 bags, 100k Ton Milestone From where was the sample collectedManufacturer
First name of sampler or witnessed byJ.D. Last name of sampler or witnessed byAtkinson
Title of samplerMaterial Tester Telephone number of sampler
Laboratory sample identificationD78929 Linked DIME Sample ID2021-08-25-16, 2021-08-25-14
The fabricator/manufacturer/facility nameJ F Shea Construction Inc - Fawndale Rock and Asphalt - Redding CA Transportation Laboratory (TL) Number858990
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 collectedPlant Sampler
Where the material sample would have been placed if not sampled02 SHA 5 Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-25-34-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Darrell ValasekCT D02 - North Region Materials Lab08/27/2021Darrell Valasek
Yes
09/09/2021