Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2022-08-29-52

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993299
DEA: 022J3904
EFIS: 0221000073
DIST-CO-RTE-PM02-SHA-44-45.5/51.6
Award Date11/16/2021
Closeout Date11/23/2022
Work DescriptionHMA OVERLAY, REPLACE AC SURFACING AND SHOULDER BACKING.
Location DescriptionSHASTA COUNTY NEAR VIOLA FROM 3.0 MILES EAST OF DEER FLAT ROAD TO 0.5 MILE EAST OF BRIDGE CREEK ROAD
QA Service Level1 (Verified on 10/18/2021)

Sample Information

Sample Taken Date08/29/2022 Sample Unique Key52
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 testing08/29/2022
Sample typeDepartment Acceptance A brief description of the sample3 bags of Combined Lime Treated Virgin 1/2-inch Aggregate
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 identificationD79143A Linked DIME Sample ID
The fabricator/manufacturer/facility nameTullis – Northstate Asphalt (Redding, CA) Transportation Laboratory (TL) Number866065
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)91-45-0057::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 collectedCold Feed at Plant
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
2022-08-29-52-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Karen Dorado, CT D02 - Redding Northern Regional Laboratory08/31/2022Darrell Valasek
Yes
09/09/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-08-29-52-1 AASHTO T27-14 (Verified)