Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 66669 DEA: JMF-DATA EFIS: JMF-DATA
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for storing JMF sample data
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2022-02-08-60
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory - Deactivated
Sample Organization Contact: (510) 385-7921
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 02/08/2022
Date that the sample was received by the laboratory/organization performing the testing: 02/08/2022
The quantity of what the sample constitutes: 750 tons
A brief description of the sample: 3/4" HMA w/15% RAP Virgin Aggregates
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hanson Aggregates - Sunol
Source Identification (SMARA, name of Pit or Job Site): 91-01-0011
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: Sampler Device
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2022-02-08-60-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D04 - Hayward Field Laboratory - Deactivated
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: jerome.hernandez@dot.ca.gov
Organization Phone: (510) 385-7921
Data has not been verified.
