Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-10-14-51

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215704
DEA: 020J9104
EFIS: 0219000174
DIST-CO-RTE-PM02-LAS,MOD,SHA-89,139,299-VAR
Award Date06/03/2021
Closeout DateNot set
Work DescriptionREPAIR UNSOUND CONCRETE, POLYESTER CONCRETE OVERLAYS, JOINT SEALS.
Location DescriptionLASSEN, MODOC, AND SHASTA COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 05/03/2021)

Sample Information

Sample Taken Date10/14/2021 Sample Unique Key51
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 testing10/14/2021
Sample typeAcceptance A brief description of the sampleShoulder Backing
The quantity of what the sample constitutes3 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD78962 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJ F Shea Construction Inc - Fawndale Rock and Asphalt - Redding CA Transportation Laboratory (TL) Number875741
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
Where the material sample would have been placed if not sampled02 MOD SHA SIS LAS VAR Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-14-51-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesColt SweenyCT D02 - North Region Materials Lab10/19/2021Darrell Valasek
Yes
10/28/2021
2021-10-14-51-2CTM 205-December 2010: Method of Test for Determining Percentage of Crushed ParticlesTerry McCormickCT D02 - North Region Materials Lab10/21/2021Darrell Valasek
Yes
10/28/2021
2021-10-14-51-3CTM 229-June 2011: Method of Test for Durability IndexKaren DoradoCT D02 - North Region Materials Lab10/21/2021Darrell Valasek
Yes
10/28/2021
2021-10-14-51-4CTM 217-June 2011: Method of Test for Sand EquivalentKaren DoradoCT D02 - North Region Materials Lab10/21/2021Darrell Valasek
Yes
10/28/2021
2021-10-14-51-5CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerTerry McCormickCT D02 - North Region Materials Lab10/25/2021Darrell Valasek
Yes
10/28/2021