Sample Record

Owner Lab

  • Jaxon Enterprises - Deer Creek Rock & Asphalt

DIME Sample ID 2023-04-08-5

Project Information

Project IdentifiersProject ID: 66669
DEA: JMF-DATA
EFIS: JMF-DATA
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for storing JMF sample data
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date04/08/2023 Sample Unique Key5
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 testing04/10/2023
Sample typeQuality Control A brief description of the sample3/8CR
The quantity of what the sample constitutes100 tons From where was the sample collectedSource
First name of sampler or witnessed byJordan Last name of sampler or witnessed byBaker
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameDeer Creek Rock and Asphalt Transportation Laboratory (TL) NumberNot set
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-54-0021
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedplant
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2023-10-23-1011.256-0.50inch RHMA-G Date Created05/10/2023
SubmittalN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-08-5-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Jordan Baker, Jaxon Enterprises - Deer Creek Rock & Asphalt04/10/2023Jordan Baker
No
Submitted from JMF - Jordan Baker Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-04-08-5-1 AASHTO T27-14