DIME - Sample Record for DIME Sample ID 2023-06-14-86

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2023-06-14-86

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Project Information

Project Identifiers	Project ID: 994345 DEA: 023J7804 EFIS: 0222000083
DIST-CO-RTE-PM	02-TRI-36-15.8/16.9,20.5/24.5
Award Date	12/22/2022
Closeout Date	08/22/2023
Work Description	PLACE HOT MIX ASPHALT (TYPE A) AND REPLACE ASPHALT CONCRETE SURFACING.
Location Description	TRINITY COUNTY NEAR FOREST GLEN FROM 1.1 MILES WEST OF SOUTH FORK TRINITY RIVER BRIDGE TO SOUTH FORK TRINITY RIVER BRIDGE NO. 05-0026 AND FROM UPPER RATTLESNAKE CREEK BRIDGE NO. 05-0073 TO 0.3 MILE WEST OF TRINITY PINES ROAD
QA Service Level	1 (Verified on 03/28/2023)

Sample Information

Sample Taken Date	06/14/2023	Sample Unique Key	86
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	06/14/2023
Sample type	Production Start-Up	A brief description of the sample	Mathematically Combined Lime Treated 3/8-inch Type A Aggregate
The quantity of what the sample constitutes	Production Start-Up Evaluation	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	JD	Last name of sampler or witnessed by	Atkinson
Title of sampler	Tester	Telephone number of sampler
Laboratory sample identification	D79264F	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Tullis - Northstate Asphalt - Redding, CA	Transportation Laboratory (TL) Number	858118
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)	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	Mathematically Combined Gradation per CT 384
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

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2023-06-14-86-1	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Ward Jenkins, CT D02 - Redding Northern Regional Laboratory	08/01/2023	Ward Jenkins	Yes	08/03/2023	CT 384: Combined at 76.0% Cold Feed and 24.0% Reclaimed Aggregate

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2023-06-14-86-1 AASHTO T27-14 (Verified)