Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2024-11-05-4

Project Information

Project IdentifiersProject ID: 66669
DEA: JMF-DATA
EFIS: JMF-DATA
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for storing JMF sample data
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date11/05/2024 Sample Unique Key4
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 testing11/04/2024
Sample typeVerification A brief description of the samplena
The quantity of what the sample constitutesna From where was the sample collectedJob Site
First name of sampler or witnessed byAlexis Last name of sampler or witnessed byCorona
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility namena Transportation Laboratory (TL) NumberNot set
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)00000
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedna
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2024-50 Date Created11/05/2024
JMF Submittal IDJMF3511-6-2020-166 JMF StatusSubmittal Accepted for Verification
Producer Mix ID5202 Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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