Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2021-06-14-55

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215250
DEA: 021J4404
EFIS: 0220000079
DIST-CO-RTE-PM02-MOD-299-20.0/23.1,23.5/24.5,33.5/37.5
Award Date12/14/2020
Closeout Date09/27/2021
Work DescriptionASPHALT RUBBER CHIP SEAL.
Location DescriptionMODOC COUNTY AT VARIOUS LOCATIONS FROM 1.8 MILES WEST OF ROUTE 139 TO 0.3 MILE WEST OF RATTLESNAKE CREEK BRIDGE
QA Service Level1 (Verified on 10/30/2020)

Sample Information

Sample Taken Date06/14/2021 Sample Unique Key55
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 testing06/22/2021
Sample typeDepartment Acceptance A brief description of the sample1 bag of Sand for Cover (Seal)
The quantity of what the sample constitutesProject From where was the sample collectedOther
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD78853 Linked DIME Sample ID
The fabricator/manufacturer/facility nameEagle Peak Rock and Paving, Alturas, CA Transportation Laboratory (TL) Number853349
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Eagle Peak
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedUnknown
Where the material sample would have been placed if not sampled02 MOD 299 Primary Aggregate Nominal Sizefine
The concrete mix design numberNot Applicable Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-14-55-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesTerry McCormick, CT D02 - Redding Northern Regional Laboratory06/23/2021Ward Jenkins
Yes
01/28/2022Unknown x-values. Gradation may be in compliance.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-06-14-55-1 CTM 202-November 2011 (Verified)