Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2022-06-03-22
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Project Information
| Project Identifiers | Project ID: 993343 DEA: 022J3604 EFIS: 0221000070 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-36-67.5/R75.1 |
| Award Date | 12/02/2021 |
| Closeout Date | 07/25/2022 |
| Work Description | ASPHALT-RUBBER BINDER, SEAL COAT & REPLACE ASPHALT CONCRETE SURFACING. |
| Location Description | TEHAMA COUNTY NEAR MINERAL FROM 0.2 MILE EAST OF LATKA ROAD TO 0.1 MILE EAST OF LITTLE GIANT MILL ROAD |
| QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 06/03/2022 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 testing | 06/03/2022 |
| Sample type | Acceptance | A brief description of the sample | 1 bag Sand for Flush Coat |
| The quantity of what the sample constitutes | Project | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | D79042 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Tullis – Shasta Ranch Aggregates – Anderson, CA | Transportation Laboratory (TL) Number | 708123 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0057 |
|---|---|---|---|
| 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 collected | Stockpile @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-06-03-22-1 CTM 202-November 2011 (Verified)