Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2024-08-13-119

Project Information

Project IdentifiersProject ID: 1000003
DEA: 024J8404
EFIS: 0223000079
DIST-CO-RTE-PM02-LAS-395-76.0/92.0
Award Date04/24/2024
Closeout Date06/16/2025
Work DescriptionASPHALT RUBBER CHIP SEAL AND REPLACE ASPHALT CONCRETE SURFACING.
Location DescriptionLASSEN COUNTY NEAR LITCHFIELD FROM 0.1 MILE SOUTH OF MAPES LANE TO 0.1 MILE NORTH OF KARLO ROAD
QA Service Level1 (Verified on 01/02/2024)

Sample Information

Sample Taken Date08/13/2024 Sample Unique Key119
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 testing08/19/2024
Sample typeAcceptance A brief description of the sample3/8" Pre-coated Chips
The quantity of what the sample constitutes1 bag From where was the sample collectedOther
First name of sampler or witnessed by? Last name of sampler or witnessed by?
Title of samplerNA Telephone number of sampler
Laboratory sample identificationD79690 Linked DIME Sample ID
The fabricator/manufacturer/facility nameLockwood Transportation Laboratory (TL) Number823618
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)Lockwood Quarry (NV)
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?
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 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