Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-03-14-10
Project Information
Project Identifiers | Project ID: 213074 DEA: 044G8904 EFIS: 0413000059 |
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DIST-CO-RTE-PM | 04-CC-580-5.8 |
Award Date | 05/10/2018 |
Closeout Date | 03/12/2020 |
Work Description | BIDGE SEISMIC RETROFIT |
Location Description | CONTRA COSTA COUNTY IN RICHMOND AT SCOFIELD AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 02/13/2018) |
Sample Information
Sample Taken Date | 03/14/2019 | Sample Unique Key | 10 |
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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 | 03/15/2019 |
Sample type | Verification | A brief description of the sample | Asphalt |
The quantity of what the sample constitutes | 1 CY | From where was the sample collected | Source |
First name of sampler or witnessed by | Benjamin | Last name of sampler or witnessed by | Lim |
Title of sampler | AMR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Syar Lake Herman | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Syar Lake Herman |
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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 | Hogsback North Pit |
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 | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2019-51 | Date Created | 03/15/2019 |
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JMF Submittal ID | JMF3511-33-2019-70 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | 311101510-LD_0119 | 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 |
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2019-03-14-10-1 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | Benjamin Lim, CT HQ - QASI Bay Area Field Office | 03/15/2019 | Benjamin Lim | No | testing JMF tool | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-03-14-10-1 AASHTO T335-09r13