Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-09-13-18
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Project Information
| Project Identifiers | Project ID: 213337 DEA: 024F5404 EFIS: 0213000004 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-R15.3/R16.5 |
| Award Date | 07/30/2018 |
| Closeout Date | 05/23/2022 |
| Work Description | BRIDGE REPLACEMENT - SOUTHBOUND ONLY |
| Location Description | SISKIYOU 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 Level | 1 (Verified on 11/14/2018) |
Sample Information
| Sample Taken Date | 09/13/2021 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 09/13/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Combined Treated 3/4-inch Type A Aggregate |
| The quantity of what the sample constitutes | Production Start-Up Evaluation | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Derrick | Last name of sampler or witnessed by | Curry |
| Title of sampler | Materials Tester | Telephone number of sampler | |
| Laboratory sample identification | D78942 | Linked DIME Sample ID | 2021-09-13-16, 2021-09-13-17 |
| The fabricator/manufacturer/facility name | JF Shea Construction - Fawndale Rock and Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 815603 |
| 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) | 91-45-0017 |
|---|---|---|---|
| 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 | Mathematically Combined Gradation |
| Where the material sample would have been placed if not sampled | 02 SIS 5 | 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: 2021-09-13-18-1 AASHTO T27-14 (Verified)