Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 66667 DEA: JMFPP EFIS: 0019000043
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2022-04-15-13
TL Number from the TL Form:
Sample Submitted By Organization: Granite Construction Company - Fresno
Sample Organization Contact: (559) 441-5719
Type of Sample: Informational
Type of Material: Aggregate
Sample Taken Date: 04/15/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/15/2022
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4 HMA Type A
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction Company Coalinga
Source Identification (SMARA, name of Pit or Job Site): 91-10-0005
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: Plant Stockpiles
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2022-04-15-13-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: Granite Construction Company - Fresno
Organization Address: 2716 South Granite Court,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93706
Organization Email: sol.jimenez@gcinc.com
Organization Phone: (559) 441-5719
Data has not been verified.