Sample Record

Owner Lab

  • Gallagher and Burk Materials

DIME Sample ID 2020-04-01-23

Project Information

Project IdentifiersProject ID: 66667
DEA: JMFPP
EFIS: 0019000043
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date04/01/2020 Sample Unique Key23
Date that the sample was received by the laboratory/organization performing the testing04/01/2020 Sample typeAggregate Prequalification Program
A brief description of the sample1/2" Cold feed The quantity of what the sample constitutes20000 tons
From where was the sample collectedJob Site First name of sampler or witnessed byDon
Last name of sampler or witnessed byEvans Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameDeSilva Gates Aggregates
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-01-0007::SUNOL
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedFeeder Conveyor Belt
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2020-184-MD6757 Date Created04/09/2020
SubmittalN/A

Submitted Tests

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

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Test File Attachments