Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-10-27-13
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Project Information
| Project Identifiers | Project ID: 215704 DEA: 020J9104 EFIS: 0219000174 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS,MOD,SHA-89,139,299-VAR |
| Award Date | 06/03/2021 |
| Closeout Date | 08/08/2022 |
| Work Description | REPAIR UNSOUND CONCRETE, POLYESTER CONCRETE OVERLAYS, JOINT SEALS. |
| Location Description | LASSEN, MODOC, AND SHASTA COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 05/03/2021) |
Sample Information
| Sample Taken Date | 10/27/2021 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 10/27/2021 |
| Sample type | Acceptance | A brief description of the sample | Lime 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 | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | D78967 | Linked DIME Sample ID | 2021-10-27-10, 2021-10-27-12 |
| The fabricator/manufacturer/facility name | JF Shea Construction - Fawndale Rock and Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 875743 |
| 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 | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Mathematically Combined | |
| Where the material sample would have been placed if not sampled | 02 MOD LAS SIS SHA 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: 2021-10-27-13-2 AASHTO T30-19 (Verified)