Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-06-21-68

Project Information

Project IdentifiersProject ID: 212245
DEA: 024F8604
EFIS: 0213000043
DIST-CO-RTE-PM02-TRI-36-26.7/27.1
Award Date11/02/2018
Closeout Date05/23/2022
Work DescriptionROADWAY REALIGNMENT AND NEW BRIDGE CONSTRUCTION
Location DescriptionTRINITY COUNTY ABOUT 9 MILES EAST OF FOREST GLEN FROM 0.6 MILE WEST TO 0.1 MILE WEST OF ROUTE 3
QA Service Level1 (Verified on 03/21/2017)

Sample Information

Sample Taken Date06/21/2021 Sample Unique Key68
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing06/21/2021
Sample typeAcceptance A brief description of the sample1 bag lime treated 3/4-inch virgin aggregate for use in 3/4-inch Type A HMA
The quantity of what the sample constitutesProduction Start-Up Evaluation From where was the sample collectedManufacturer
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of sampler Telephone number of sampler
Laboratory sample identificationD78851A Linked DIME Sample ID
The fabricator/manufacturer/facility nameJF Shea Construction - Fawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number
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::Fawndale Rock Quarry
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 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-21-68-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab06/22/2021Ward Jenkins
Yes
01/25/2022