Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-11-13-12
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Project Information
| Project Identifiers | Project ID: 215601 DEA: 024H3404 EFIS: 0218000109 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-299-5.2/5.7 |
| Award Date | 05/14/2021 |
| Closeout Date | 05/02/2022 |
| Work Description | INSTALL LEFT TURN LANE. |
| Location Description | TRINITY COUNTY NEAR SALYER FROM 0.3 MILE WEST OF DENNY ROAD TO 0.2 MILE WEST OF PONY BAR CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/29/2021) |
Sample Information
| Sample Taken Date | 11/13/2021 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 11/15/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Hot Bin 1, Lime Treated Fine Aggregate |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Delgado |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | D78981A | Linked DIME Sample ID | 2021-11-13-13, 2021-11-13-14, 2021-11-13-15 |
| The fabricator/manufacturer/facility name | Mercer-Fraser - Willow Creek Plant - Willow Creek, CA | Transportation Laboratory (TL) Number | 695666 |
| 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) | 91-12-0007 |
|---|---|---|---|
| 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 collected | Mercer Fraser Batch Plant | |
| Where the material sample would have been placed if not sampled | 02 TRI 299 | Primary Aggregate Nominal Size | fine |
| 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: 2021-11-13-12-1 AASHTO T27-14 (Verified)