Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2019-03-14-10

Project Information

Project IdentifiersProject ID: 213074
DEA: 044G8904
EFIS: 0413000059
DIST-CO-RTE-PM04-CC-580-5.8
Award Date05/10/2018
Closeout Date03/12/2020
Work DescriptionBIDGE SEISMIC RETROFIT
Location DescriptionCONTRA COSTA COUNTY IN RICHMOND AT SCOFIELD AVENUE UNDERCROSSING
QA Service Level1 (Verified on 02/13/2018)

Sample Information

Sample Taken Date03/14/2019 Sample Unique Key10
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 testing03/15/2019
Sample typeVerification A brief description of the sampleAsphalt
The quantity of what the sample constitutes1 CY From where was the sample collectedSource
First name of sampler or witnessed byBenjamin Last name of sampler or witnessed byLim
Title of samplerAMR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSyar Lake Herman 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, name of Pit or Job Site)Syar Lake Herman
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedHogsback North Pit
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2019-51 Date Created03/15/2019
JMF Submittal IDJMF3511-33-2019-70 JMF StatusSubmittal Accepted for Verification
Producer Mix ID311101510-LD_0119 Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-14-10-1AASHTO 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 Office03/15/2019Benjamin Lim
No
testing JMF tool Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2019-03-14-10-1 AASHTO T335-09r13