Sample Record for 2019-01-04-57
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 66667 DEA: JMFPP EFIS: 0019000043
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2019-01-04-57
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 01/04/2019
Date that the sample was received by the laboratory/organization performing the testing: 01/04/2019
The quantity of what the sample constitutes: JMF
A brief description of the sample: 3/4 HMA Type A
From where was the sample collected: Source
Laboratory sample identification: TEM34SPLA
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM-Avenal
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-10-0006::AVENAL AGGREGATES
The fabricator's/manufacturer's product name for the sample: 3/4 HMA Type A
The fabricator/manufacturer designation for the sample: JMF virgin aggreate
The plant number: 1
A detailed description of where the material sample was collected: Stockpile @ Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: TEM34SPLA
Lot number: 1
Sublot number: 1
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2019-01-04-57-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
This test has been superseded on 04/11/2019.
Reason: retested
