Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-10-08-50
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Project Information
| Project Identifiers | Project ID: 214190 DEA: 024G41U4 EFIS: 0218000047 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS,SIS-5-Var |
| Award Date | 08/26/2019 |
| Closeout Date | 11/24/2021 |
| Work Description | REPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL. |
| Location Description | SHASTA 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 Level | 1 (Verified on 07/09/2019) |
Sample Information
| Sample Taken Date | 10/08/2020 | Sample Unique Key | 50 |
|---|---|---|---|
| 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 | 10/08/2020 |
| Sample type | Verification | A brief description of the sample | Lime Treated 3/4-inch Type A Virgin Aggregate |
| The quantity of what the sample constitutes | JMF 18-03-R05m | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Randy | Last name of sampler or witnessed by | Bibbins |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78660A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | JF Shea Construction - Fawndale Rock and Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 779352 |
| 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 | Cold Feed | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-84 | Date Created | 12/20/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2021-102 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 18-1001.305-23.6% | Authorized Date | 01/04/2022 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-10-08-50-1 AASHTO T27-14 (Verified)