Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2022-06-13-32

Project Information

Project IdentifiersProject ID: 993343
DEA: 022J3604
EFIS: 0221000070
DIST-CO-RTE-PM02-TEH-36-67.5/R75.1
Award Date12/02/2021
Closeout Date07/25/2022
Work DescriptionASPHALT-RUBBER BINDER, SEAL COAT & REPLACE ASPHALT CONCRETE SURFACING.
Location DescriptionTEHAMA COUNTY NEAR MINERAL FROM 0.2 MILE EAST OF LATKA ROAD TO 0.1 MILE EAST OF LITTLE GIANT MILL ROAD
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date06/13/2022 Sample Unique Key32
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 testing06/13/2022
Sample typeAcceptance A brief description of the sampleLime Treated 1/2-Inch Coldfeed
The quantity of what the sample constitutesProduction Start-Up Evaluation 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 identificationD79051 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTullis Inc. - Northstate Asphalt (Redding CA) Transportation Laboratory (TL) Number708124
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)91-45-0017
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 Size1/2 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
2022-06-13-32-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Khue Yang, CT D02 - Redding Northern Regional Laboratory06/16/2022Darrell Valasek
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-06-13-32-1 AASHTO T27-14