Sample Record
Owner Lab
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2020-07-31-14
Project Information
| Project Identifiers | Project ID: 214901 DEA: 044Q3304 EFIS: 0419000378 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-24-R0.4/1.0 |
| Award Date | 06/12/2020 |
| Closeout Date | 04/12/2021 |
| Work Description | COLD PLANE PAVEMENT AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT. |
| Location Description | CONTRA COSTA COUNTY FROM FISH RANCH ROAD TO 0.2 MILE WEST OF GATEWAY BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
| Sample Taken Date | 07/31/2020 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 12/31/2019 |
| Sample type | Verification | A brief description of the sample | Mix Aggregates to use in 1/2" RHMA-O-WMA |
| The quantity of what the sample constitutes | 18 Bags (Shipped in 3 group of 6) | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Lisa | Last name of sampler or witnessed by | Nordine |
| Title of sampler | QC Lab Tech | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DSG Sunol Plant | 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) | 91-01-0007 |
|---|---|---|---|
| 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 | Sample collected from DSG Sonul | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-190 | Date Created | 08/19/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-318-2020-274 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | MD6653 | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-31-14-1 AASHTO T96-02r10 (Verified)
DIME Test ID: 2020-07-31-14-2 ASTM D4791-10 (Verified)
DIME Test ID: 2020-07-31-14-3 AASHTO T27-14 (Verified)
DIME Test ID: 2020-07-31-14-4 CTM 207-March 2012 (Verified)
DIME Test ID: 2020-07-31-14-5 CTM 206-October 2011 (Verified)
DIME Test ID: 2020-07-31-14-6 AASHTO T335-09r13 (Verified)
