Sample Record for 2018-09-21-19
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213182 DEA: 030C4724 EFIS: 0314000272
QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-16-20.5/21.3, 28.2/31.8
Work Description: ADD TURN LANES & ROUNDABOUT, ALIGN CURVE, WIDEN SHOULDER, CULVERT WORK
Location Description: YOLO COUNTY NEAR ESPARTO FROM 0.3 MILE WEST TO 0.4 MILE EAST OF COUNTY ROAD 79 AND FROM 0.1 MILE EAST OF PLAINFIELD STREET TO 0.1 MILE EAST OF COUNTY ROAD 90
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 Fourth St., Berkeley, CA 94710
Resident Engineer: Mohammad Yusufzai Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2018-09-21-19
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 09/21/2018
Date that the sample was received by the laboratory/organization performing the testing: 09/21/2018
The quantity of what the sample constitutes: Hot mixed asphalt
A brief description of the sample: JMF Verification
From where was the sample collected: Source
Laboratory sample identification: JMF 18-031
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan, Madison
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-57-0008::SOLANO CONCRETE OFF-CHANNEL
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Hot Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
