Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2018-09-21-19
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 213182 DEA: 030C4724 EFIS: 0314000272 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-16-20.5/21.3, 28.2/31.8 |
| Award Date | 06/19/2018 |
| Closeout Date | 10/06/2021 |
| 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 |
| QA Service Level | 1 (Verified on 07/26/2018) |
Sample Information
| Sample Taken Date | 09/21/2018 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 09/21/2018 |
| Sample type | Verification | A brief description of the sample | JMF Verification |
| The quantity of what the sample constitutes | Hot mixed asphalt | From where was the sample collected | Source |
| First name of sampler or witnessed by | Walter | Last name of sampler or witnessed by | Wylie |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | JMF 18-031 | Linked DIME Sample ID | 213182 |
| The fabricator/manufacturer/facility name | Vulcan, Madison | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | 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 | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
JMF Information
| Verification ID | JMF3513-2018-37 | Date Created | 10/10/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2018-49 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | 326120-MSRD | 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. | |||