Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2018-02-20-33
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Project Information
| Project Identifiers | Project ID: 212852 DEA: 010H7604 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101-33.0/42.0 |
| Award Date | 10/10/2017 |
| Closeout Date | 08/06/2020 |
| Work Description | Fire Damage Repairs: Roadway Repair, Drainage/Slope Repair, Erosion Control, Fencing, MBGR and Sign Replacement, Hazard Tree and Debris Removal. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 01/26/2018) |
Sample Information
| Sample Taken Date | 02/20/2018 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 02/22/2018 |
| Sample type | Verification | A brief description of the sample | virgin aggregate |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | a | Last name of sampler or witnessed by | e |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Granite Ukiah | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-23-0015::HARRIS QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 1060_1/2 HMA64-16R15LAS-SP | The fabricator/manufacturer designation for the sample | 1060_1/2 HMA64-16R15LAS-SP |
| The plant number | Unknown | A detailed description of where the material sample was collected | coldfeed |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
JMF Information
| Verification ID | JMF3513-2018-14 | Date Created | 04/13/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-21-2018-23 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | 1060_1/2"HMA64-16R15-LAS-SP | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-02-20-33-1 AASHTO T27-14 (Verified)