Sample Record

Owner Lab

  • CT - Unassigned/General Field Laboratory

DIME Sample ID 2019-03-13-18

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 Date03/13/2019 Sample Unique Key18
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 testing03/27/2019
Sample typeVerification A brief description of the sampleBags of Aggregate
The quantity of what the sample constitutes4 bags From where was the sample collectedOther
First name of sampler or witnessed byBrent Last name of sampler or witnessed byBarber
Title of samplerField Inspector Telephone number of sampler805-441-0187
Laboratory sample identification19-J-015 Linked DIME Sample ID
The fabricator/manufacturer/facility namePapich Paso Robles Transportation Laboratory (TL) NumberD5
Inspector Lot Number from the Transportation Laboratory (TL) FormN/A 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 sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedHot Drop at the Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-13-18-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Daniel GingrasCT D05 - Field Laboratory04/03/2019Daniel Gingras
Yes
04/22/2019