Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-10-08-50

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214190
DEA: 024G41U4
EFIS: 0218000047
DIST-CO-RTE-PM02-SIS,SIS-5-Var
Award Date08/26/2019
Closeout Date11/24/2021
Work DescriptionREPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL.
Location DescriptionSHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING
QA Service Level1 (Verified on 07/09/2019)

Sample Information

Sample Taken Date10/08/2020 Sample Unique Key50
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 testing10/08/2020
Sample typeVerification A brief description of the sampleLime Treated 3/4-inch Type A Virgin Aggregate
The quantity of what the sample constitutesJMF 18-03-R05m From where was the sample collectedManufacturer
First name of sampler or witnessed byRandy Last name of sampler or witnessed byBibbins
Title of sampler Telephone number of sampler
Laboratory sample identificationD78660A Linked DIME Sample ID
The fabricator/manufacturer/facility nameJF Shea Construction - Fawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number779352
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 collectedCold Feed
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID JMF3513-2021-84

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-08-50-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Arthur Mills and Terry McCormickCT D02 - North Region Materials Lab10/09/2020Ward Jenkins
Yes
12/20/2021