Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2019-04-17-53
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (915) 296-1892
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 04/17/2019
Date that the sample was received by the laboratory/organization performing the testing: 08/02/2019
The quantity of what the sample constitutes: 1
A brief description of the sample: 3/4" HMA - A
From where was the sample collected: Source
Laboratory sample identification: 19-JMF-0129
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction Company Vernalis
Source Identification (SMARA, name of Pit or Job Site): 91-39-0002::VERNALIS
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
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: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
DIME Test ID: 2019-04-17-53-1
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 Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
Data has not been verified.
