Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2022-03-17-23

Project Information

Project IdentifiersProject ID: 66667
DEA: JMFPP
EFIS: 0019000043
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/17/2022 Sample Unique Key23
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 testing03/21/2022
Sample typeAnnual Source Testing A brief description of the sample3 bags of Untreated 3/8″ Sized Virgin Aggregate for use in 3/4-inch Type A HMA
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD79009B Linked DIME Sample ID2022-03-17-25
The fabricator/manufacturer/facility nameTullis – Northstate Asphalt (Redding, CA) Transportation Laboratory (TL) Number708110
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)91-45-0057::Shasta Ranch Aggregates
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 collectedSized Untreated Aggregate Stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2022-2 Date Created03/21/2022
JMF Submittal IDJMF3511-22-2022-3 JMF StatusSubmittal Authorized For Use
Producer Mix IDL220310 Authorized Date05/24/2022

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-17-23-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Karen Dorado, CT D02 - Redding Northern Regional Laboratory03/22/2022Darrell Valasek
Yes
04/18/2022
2022-03-17-23-2AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Bang Nguyen, CT HQ - Sacramento Aggregate Testing Laboratory05/02/2022Bang Nguyen
Yes
05/04/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-03-17-23-1 AASHTO T27-14 (Verified)
DIME Test ID: 2022-03-17-23-2 AASHTO T104-99r16 (Verified)