Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2024-06-17-109

Project Information

Project IdentifiersProject ID: 212778
DEA: 023H6504
EFIS: 0218000004
DIST-CO-RTE-PM02-SIS-5-25.2/38.6
Award Date10/13/2023
Closeout DateNot set
Work DescriptionHMA, THERMOPLASTIC TRAFFIC STRIPE, COLD PLANE AC PAVEMENT, GUARDRAIL.
Location DescriptionSISKIYOU COUNTY ABOUT 5.0 MILES NORTH OF WEED FROM NORTH EDGEWOOD OVERHEAD TO 0.2 MILE NORTH OF GRENADA OVERCROSSING
QA Service Level1 (Verified on 02/27/2019)

Sample Information

Sample Taken Date06/17/2024 Sample Unique Key109
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 testing06/17/2024
Sample typeAcceptance A brief description of the sample1 bag of Combined RAP
The quantity of what the sample constitutes50K Milestone 1 Bag RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byR. Last name of sampler or witnessed byMelvin
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD79580B Linked DIME Sample ID
The fabricator/manufacturer/facility nameJ.F. Shea Construction — Fawndale Rock and Asphalt (Redding, CA) Transportation Laboratory (TL) Number899700
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 collectedManufacturer
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
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Sample File Attachments

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Test File Attachments