Sample Record

Owner Lab

  • CT HQ - Hot Mix Asphalt Laboratory

DIME Sample ID 2019-01-04-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 66667
DEA: JMFPP
EFIS: 0019000043
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date01/04/2019 Sample Unique Key15
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 testing01/04/2019
Sample typeQuality Control A brief description of the sample3/4 HMA Type A
The quantity of what the sample constitutesJMF From where was the sample collectedSource
First name of sampler or witnessed byCarlos Last name of sampler or witnessed byManzo
Title of samplerQC Technician Telephone number of sampler805-440-7390
Laboratory sample identificationTEM34SPLA Linked DIME Sample ID
The fabricator/manufacturer/facility nameSPM-Avenal Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-10-0006::AVENAL AGGREGATES
The fabricator's/manufacturer's product name for the sample3/4 HMA Type A The fabricator/manufacturer designation for the sampleJMF virgin aggreate
The plant number1 A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberTEM34SPLA Lot number1
Sublot number1 HMA Design ID JMF3512-2019-68-Test

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-01-04-15-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Clinton EdmistonCT HQ - Hot Mix Asphalt Laboratory01/04/2019Clinton Edmiston
Yes
02/20/2019