Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2022-05-04-31

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 Key31
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 sample3/4 Inch lime treated Coldfeed
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byCGI Last name of sampler or witnessed by.
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD79024 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHat Creek Construction, Ward Lake Plant, Litchfield, CA Transportation Laboratory (TL) Number898177
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
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 Sampler
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 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-05-04-31-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Khue Yang, CT D02 - Redding Northern Regional Laboratory05/09/2022Darrell Valasek
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-05-04-31-1 AASHTO T27-14