Sample Record
Owner Labs
- Teichert Materials - Sacramento
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2020-07-23-33
Project Information
| Project Identifiers | Project ID: 214805 DEA: 044Q1604 EFIS: 0419000353 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-4-R32.7/R34.0 |
| Award Date | 05/04/2020 |
| Closeout Date | 09/25/2020 |
| Work Description | COLD PLANE AC PAVEMENT AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT. |
| Location Description | CONTRA COSTA COUNTY IN ANTIOCH AND BRENTWOOD FROM 0.2 MILE WEST OF LONE TREE WAY UNDERCROSSING TO SAND CREEK BRIDGE |
| QA Service Level | 1 (Verified on 05/19/2020) |
Sample Information
| Sample Taken Date | 07/23/2020 | Sample Unique Key | 33 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Verification | A brief description of the sample | 3/4" RWMA-G Aggregate |
| The quantity of what the sample constitutes | 2 bags of aggregate | From where was the sample collected | Source |
| First name of sampler or witnessed by | CTInspectorIArechiga | Last name of sampler or witnessed by | CTInspectorIArechiga |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Vernails | 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) | 91-39-0041::VERNALIS WEST & EAST PROPERTIES |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Automatic Sampling Device @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-179 | Date Created | 08/05/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-318-2020-261 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | VRN34SPGVAL6416XL9C | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-23-33-1 AASHTO T27-14 (Verified)
DIME Test ID: 2020-07-23-33-2 AASHTO T84-14 (Verified)
DIME Test ID: 2020-07-23-33-3 AASHTO T85-13 (Verified)
DIME Test ID: 2020-07-23-33-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2020-07-23-33-5 AASHTO T176-08 (Verified)
DIME Test ID: 2020-07-23-33-6 AASHTO T304-11 (Verified)
DIME Test ID: 2020-07-23-33-7 AASHTO T335-09r13 (Verified)
DIME Test ID: 2020-07-23-33-8 ASTM D4791-10 (Verified)
