Sample Record
Owner Lab
- Jaxon Enterprises - Deer Creek Rock & Asphalt
DIME Sample ID 2025-10-28-66
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 66669 DEA: JMF-DATA EFIS: JMF-DATA |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for storing JMF sample data |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 10/28/2025 | Sample Unique Key | 66 |
|---|---|---|---|
| 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 testing | 10/21/2024 |
| Sample type | Quality Control | A brief description of the sample | 3/8 Crushed |
| The quantity of what the sample constitutes | JMF | From where was the sample collected | Source |
| First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Davis |
| Title of sampler | Not set | Telephone number of sampler | Not set |
| Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Madera Quarry | Transportation Laboratory (TL) Number | Not set |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-20-0014 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | 3/8 inch |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
JMF Information
| HMA Design ID | JMF3512-2025-75-MQ34HMA25R | Date Created | 11/18/2025 |
|---|---|---|---|
| Submittal | JMF3511-215-2025-83 Submittal Completeness in Review |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-10-28-66-1 AASHTO T27-14 (Verified)