Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2022-03-21-65
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Project Information
| Project Identifiers | Project ID: 993299 DEA: 022J3904 EFIS: 0221000073 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-45.5/51.6 |
| Award Date | 11/16/2021 |
| Closeout Date | 11/23/2022 |
| Work Description | HMA OVERLAY, REPLACE AC SURFACING AND SHOULDER BACKING. |
| Location Description | SHASTA COUNTY NEAR VIOLA FROM 3.0 MILES EAST OF DEER FLAT ROAD TO 0.5 MILE EAST OF BRIDGE CREEK ROAD |
| QA Service Level | 1 (Verified on 10/18/2021) |
Sample Information
| Sample Taken Date | 03/21/2022 | Sample Unique Key | 65 |
|---|---|---|---|
| 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 | 03/21/2022 |
| Sample type | Verification | A brief description of the sample | 3 bags of Untreated 3/8″ Sized Virgin Aggregate for use in 3/8-inch Type A HMA |
| The quantity of what the sample constitutes | JMF Verification 22-03-S01 | 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 | D79015 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Tullis – Northstate Asphalt (Redding, CA) | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 708117 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Aggregate | 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 collected | Untreated Sized Aggregate Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| 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: 2022-03-21-65-1 AASHTO T27-14 (Verified)