Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2021-09-13-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213337
DEA: 024F5404
EFIS: 0213000004
DIST-CO-RTE-PM02-SIS-5-R15.3/R16.5
Award Date07/30/2018
Closeout Date05/23/2022
Work DescriptionBRIDGE REPLACEMENT - SOUTHBOUND ONLY
Location DescriptionSISKIYOU COUNTY NEAR WEED FROM 0.1 MILE SOUTH OF DEETZ ROAD UNDERCROSSING TO 0.6 MILE NORTH OF BLACK BUTTE OVERHEAD 02-0004L
QA Service Level1 (Verified on 11/14/2018)

Sample Information

Sample Taken Date09/13/2021 Sample Unique Key18
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 testing09/13/2021
Sample typeDepartment Acceptance A brief description of the sampleCombined Treated 3/4-inch Type A Aggregate
The quantity of what the sample constitutesProduction Start-Up Evaluation From where was the sample collectedManufacturer
First name of sampler or witnessed byDerrick Last name of sampler or witnessed byCurry
Title of samplerMaterials Tester Telephone number of sampler
Laboratory sample identificationD78942 Linked DIME Sample ID2021-09-13-16, 2021-09-13-17
The fabricator/manufacturer/facility nameJF Shea Construction - Fawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number815603
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-45-0017
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedMathematically Combined Gradation
Where the material sample would have been placed if not sampled02 SIS 5 Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-13-18-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Colt Sweeny, CT D02 - Redding Northern Regional Laboratory09/15/2021Darrell Valasek
Yes
09/16/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-09-13-18-1 AASHTO T27-14 (Verified)