Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2022-05-04-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993310
DEA: 020J3804
EFIS: 0219000111
DIST-CO-RTE-PM02-LAS-36-R20.5/22.8
Award Date02/04/2022
Closeout Date08/11/2023
Work DescriptionEXPAND EXISTING BRAKE CHECK AREA AND HMA PAVING.
Location DescriptionLASSEN COUNTY NEAR SUSANVILLE AT 1.3 MILES EAST OF ROUTE 44 AND FROM 0.1 MILE EAST OF EAGLE LAKE ROAD TO 1.3 MILES WEST OF HARRIS DRIVE
QA Service Level1 (Verified on 10/18/2021)

Sample Information

Sample Taken Date05/04/2022 Sample Unique Key19
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 testing05/05/2022
Sample typeAcceptance A brief description of the sample2 bags of Shoulder Backing
The quantity of what the sample constitutesUp to 3000 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byCGI Last name of sampler or witnessed byCGI
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD79026 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHat Creek Construction and Materials - Ward Lake Pit - Litchfield, CA Transportation Laboratory (TL) Number898179
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)91-18-0008::Ward Lake Pit
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 collectedPlant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1-1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-05-04-19-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKaren Dorado, CT D02 - Redding Northern Regional Laboratory05/08/2022Darrell Valasek
Yes
05/16/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-05-04-19-1 CTM 202-November 2011 (Verified)