Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2023-05-17-83

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215310
DEA: 020J4504
EFIS: 0219000125
DIST-CO-RTE-PM02-SIS-97-0/0.0001
Award Date06/30/2022
Closeout DateNot set
Work DescriptionDORRIS TMS
Location DescriptionSISKIYOU COUNTY AT AND NEAR DORRIS AT VARIOUS LOCATIONS FROM 0.3 MILE SOUTH OF RICHARDSON ROAD TO 0.1 MILE NORTH OF DORRIS BROWNWELL ROAD
QA Service Level1 (Verified on 11/09/2020)

Sample Information

Sample Taken Date05/17/2023 Sample Unique Key83
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 testing05/17/2023
Sample typeProduction Start-Up A brief description of the sample3 bags of Combined Treated Virgin Aggregate for use in 3/4-inch Type A HMA
The quantity of what the sample constitutesProduction Start-Up Evaluation From where was the sample collectedManufacturer
First name of sampler or witnessed byJoe Last name of sampler or witnessed byDelgado
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD79236A Linked DIME Sample ID
The fabricator/manufacturer/facility nameJF Shea Construction - Fawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number815611
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::Fawndale Rock Quarry - Redding, CA
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
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-17-83-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Sean McWithey, CT D02 - Redding Northern Regional Laboratory05/22/2023Ward Jenkins
Yes
06/08/2023

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-05-17-83-1 AASHTO T27-14 (Verified)