Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2023-03-17-37
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 66669 DEA: JMF-DATA EFIS: JMF-DATA |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for storing JMF sample data |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 03/17/2023 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 03/17/2023 |
| Sample type | Verification | A brief description of the sample | 3/4" Combined Aggregate |
| The quantity of what the sample constitutes | 6 bags | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Clinton | Last name of sampler or witnessed by | Edmiston |
| Title of sampler | Not set | Telephone number of sampler | Not set |
| Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Granite Bradshaw | Transportation Laboratory (TL) Number | Not set |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-34-0060 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | belt cut |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2023-5 | Date Created | 03/27/2023 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-208-2023-4 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | 1635V | Authorized Date | N/A |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||