Sample Record
Owner Lab
- Teichert Materials - Sacramento
DIME Sample ID 2019-04-02-25
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213912 DEA: 033H71U4 EFIS: 0319000051 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT-70-8.8/12.1 |
| Award Date | 05/09/2019 |
| Closeout Date | 09/23/2021 |
| Work Description | WIDEN RDWY, RDWY EX, HMA & MODIFY ELECT SYSTEM. |
| Location Description | BUTTE COUNTY NEAR OROVILLE FROM 0.1 MILE SOUTH OF PALERMO ROAD TO 0.6 MILE NORTH OF OPHIR ROAD |
| QA Service Level | 1 (Verified on 02/21/2019) |
Sample Information
| Sample Taken Date | 04/02/2019 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 04/10/2019 |
| Sample type | Quality Control | A brief description of the sample | QC for Assembling JMF |
| The quantity of what the sample constitutes | 500 tons | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jon | Last name of sampler or witnessed by | Blumer |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Materials Hallwood | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-58-0006::HALLWOOD PLANT |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | HMA Plant Cold Feed |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
| HMA Design ID | JMF3512-2019-108-HD201907 | Date Created | 05/30/2019 |
|---|---|---|---|
| Submittal | JMF3511-11-2019-98 Submittal Completeness in Review |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-02-25-1 AASHTO T27-14 (Verified)
