Sample Record

Owner Lab

  • CT HQ - Hot Mix Asphalt Laboratory

DIME Sample ID 2019-01-17-8

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 Date01/17/2019 Sample Unique Key8
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Control A brief description of the sample1/2" HMA-SP RAP WMA
The quantity of what the sample constitutesJMF From where was the sample collectedSource
First name of sampler or witnessed byMarina Last name of sampler or witnessed byKamel
Title of sampler Telephone number of sampler707-259-5708
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSyar industry 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)91-49-0004::CANYON ROCK CO., INC.
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 collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number HMA Design ID JMF3512-2019-69-311101510-TD_0119

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-01-17-8-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Gurpartap GrewalCT HQ - Hot Mix Asphalt Laboratory01/17/2019Gurpartap Grewal
Yes
04/05/2019Aggregate Gradation Sample 4 T-27 (1/2 Inch)

Test Card Drafts

Material TypeTest MethodSaved ByDate SavedActions
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