DIME - Sample Record for DIME Sample ID 2021-10-22-16

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2021-10-22-16

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Project Information

Project Identifiers	Project ID: 215424 DEA: 024G4404 EFIS: 0214000013
DIST-CO-RTE-PM	02-SIS-3-38.0/38.6
Award Date	04/05/2021
Closeout Date	08/14/2023
Work Description	BRIDGE REPLACEMENT
Location Description	SISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD
QA Service Level	1 (Verified on 01/19/2021)

Sample Information

Sample Taken Date	10/22/2021	Sample Unique Key	16
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	10/25/2021
Sample type	Department Acceptance	A brief description of the sample	Class 2 Aggregate Base
The quantity of what the sample constitutes	2 Bags	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Danny	Last name of sampler or witnessed by	Hansen
Title of sampler	Consultant	Telephone number of sampler
Laboratory sample identification	D78965	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Custom Crushing	Transportation Laboratory (TL) Number	815552
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)	custom crushing
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	unk	A detailed description of where the material sample was collected	Stockpile
Where the material sample would have been placed if not sampled	02 SIS 3 38 to 38 6	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

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2021-10-22-16-1	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Colt Sweeny, CT D02 - Redding Northern Regional Laboratory	10/25/2021	Darrell Valasek	Yes	10/28/2021
2021-10-22-16-2	CTM 217-June 2011: Method of Test for Sand Equivalent	Colt Sweeny, CT D02 - Redding Northern Regional Laboratory	10/25/2021	Darrell Valasek	Yes	10/28/2021
2021-10-22-16-3	CTM 229-June 2011: Method of Test for Durability Index	Terry McCormick, CT D02 - Redding Northern Regional Laboratory	10/26/2021	Darrell Valasek	Yes	10/28/2021
2021-10-22-16-4	CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the Stabilometer	Terry McCormick, CT D02 - Redding Northern Regional Laboratory	10/28/2021	Darrell Valasek	Yes	10/28/2021

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-10-22-16-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-10-22-16-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2021-10-22-16-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2021-10-22-16-4 CTM 301-March 2000 (Verified)