Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2022-07-19-70
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Project Information
| Project Identifiers | Project ID: 993344 DEA: 022J3804 EFIS: 0221000072 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-3-R48.0/51.0 |
| Award Date | 12/20/2021 |
| Closeout Date | 07/27/2023 |
| Work Description | HMA OVERLAY AND REPLACE AC SURFACING. |
| Location Description | SISKIYOU COUNTY IN AND NEAR YREKA FROM 0.1 MILE SOUTH OF JUNIPER DRIVE TO 0.3 MILE NORTH OF CALAMITY LANE |
| QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 07/19/2022 | Sample Unique Key | 70 |
|---|---|---|---|
| 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 | 07/20/2022 |
| Sample type | Acceptance | A brief description of the sample | 2 bags of Shoulder Backing |
| The quantity of what the sample constitutes | Shoulder Backing (approx. 940 tons) | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | M. | Last name of sampler or witnessed by | Birkland |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | D79102 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Custom Crushing | Transportation Laboratory (TL) Number | 853093 |
| 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) | Custom Crushing |
|---|---|---|---|
| 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 | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 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: 2022-07-19-70-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-07-19-70-2 CTM 301-March 2000 (Verified)
DIME Test ID: 2022-07-19-70-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-07-19-70-4 CTM 229-June 2011 (Verified)
DIME Test ID: 2022-07-19-70-5 CTM 204-June 2010 (Verified)
DIME Test ID: 2022-07-19-70-6 CTM 205-December 2010 (Verified)
DIME Test ID: 2022-07-19-70-7 CTM 212-May 2010 (Verified)