Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-11-11-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215601
DEA: 024H3404
EFIS: 0218000109
DIST-CO-RTE-PM02-TRI-299-5.2/5.7
Award Date05/14/2021
Closeout Date05/02/2022
Work DescriptionINSTALL LEFT TURN LANE.
Location DescriptionTRINITY COUNTY NEAR SALYER FROM 0.3 MILE WEST OF DENNY ROAD TO 0.2 MILE WEST OF PONY BAR CREEK BRIDGE
QA Service Level1 (Verified on 03/29/2021)

Sample Information

Sample Taken Date11/11/2021 Sample Unique Key15
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 testing11/13/2021
Sample typeAcceptance A brief description of the sampleHot Bin 3, Lime Treated 1/2-inch Aggregate
The quantity of what the sample constitutesProduction Start-Up Evaluation From where was the sample collectedManufacturer
First name of sampler or witnessed byMercer Last name of sampler or witnessed byFraser
Title of samplerQC Telephone number of sampler
Laboratory sample identificationD78977 Linked DIME Sample ID2021-11-11-13, 2021-11-11-14, 2021-11-11-16
The fabricator/manufacturer/facility nameMercer-Fraser - Willow Creek Plant - Willow Creek, CA Transportation Laboratory (TL) Number695662
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)91-12-0007
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 collectedMercer Fraser
Where the material sample would have been placed if not sampled02 TRI 299 Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-11-11-15-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Darrell ValasekCT D02 - North Region Materials Lab11/15/2021Darrell Valasek
Yes
11/19/2021