Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-06-17-49
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215627 DEA: 032G2004 EFIS: 0321000024 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-128-0.0/9.8 |
| Award Date | 05/11/2021 |
| Closeout Date | 01/20/2022 |
| Work Description | PLACE RHMA AND REPLACE ASPHALT CONCRETE. |
| Location Description | YOLO COUNTY IN AND NEAR WINTERS FROM PUTAH CREEK BRIDGE TO ROUTE 128/505 SEPARATION |
| QA Service Level | 1 (Verified on 03/29/2021) |
Sample Information
| Sample Taken Date | 06/17/2021 | Sample Unique Key | 49 |
|---|---|---|---|
| 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 | 07/21/2021 |
| Sample type | Verification | A brief description of the sample | 3/4" untreated Virgin Aggregate |
| The quantity of what the sample constitutes | 8 Bags | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Mosallem |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Woodland 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) | 91-57-0006 |
|---|---|---|---|
| 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 | Hot Bins | |
| 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 | JMF3513-2021-67 | Date Created | 08/09/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-85 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 306-40532500-M | Authorized Date | 09/10/2021 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-06-17-49-1 AASHTO T27-14 (Verified)
DIME Test ID: 2021-06-17-49-2 AASHTO T84-14 (Verified)
DIME Test ID: 2021-06-17-49-3 AASHTO T85-13 (Verified)
DIME Test ID: 2021-06-17-49-4 CTM 204-June 2010 (Verified)
DIME Test ID: 2021-06-17-49-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-06-17-49-6 AASHTO T304-11 (Verified)
DIME Test ID: 2021-06-17-49-7 AASHTO T176-08 (Verified)
DIME Test ID: 2021-06-17-49-8 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-06-17-49-9 AASHTO T335-09r13 (Verified)
