Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-09-01-26
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Project Information
| Project Identifiers | Project ID: 212496 DEA: 024E4504 EFIS: 0200020286 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS,MOD-139,299-VAR |
| Award Date | 07/28/2020 |
| Closeout Date | 08/14/2023 |
| Work Description | PLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS. |
| Location Description | LASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 09/01/2021 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 09/02/2021 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4 inch combined lime treated coldfeed and RAP |
| The quantity of what the sample constitutes | PSE 3 bags at 418 Tons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | E. | Last name of sampler or witnessed by | Chavez |
| Title of sampler | Materials Tester | Telephone number of sampler | |
| Laboratory sample identification | D78937 | Linked DIME Sample ID | 2021-09-01-24, 2021-09-01-25 |
| The fabricator/manufacturer/facility name | Hat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA | Transportation Laboratory (TL) Number | 848960 |
| 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) | 91-25-0008 |
|---|---|---|---|
| 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 | Plant Sampler | |
| Where the material sample would have been placed if not sampled | 02 LAS MOD 139 299 VAR | 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: 2021-09-01-26-1 AASHTO T27-14 (Verified)