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: 2021-09-28-34
TL Number from the TL Form:
Sample Submitted By Organization: RMA Group - Rancho Cucamonga
Sample Organization Contact: (909) 989-1751
Type of Sample: Informational
Type of Material: Aggregate
Sample Taken Date: 09/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/28/2021
The quantity of what the sample constitutes: 6 Bags
A brief description of the sample: Combined Coldfeed
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Irwindale
Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 106836
The fabricator/manufacturer designation for the sample: 106836
The plant number:
A detailed description of where the material sample was collected: Belt Feed
Where the material sample would have been placed if not sampled: HMA Mix
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2021-09-28-34-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
Data has not been verified.
