Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2019-04-12-11

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 Date04/12/2019 Sample Unique Key11
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 testing04/22/2019
Sample typeVerification A brief description of the sampleVirgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byMartiniano Last name of sampler or witnessed byRuiz
Title of samplerMat and Res Eng Aso Spc Telephone number of sampler5592894416
Laboratory sample identification019-005-Agg 19-JMFPP-0089 Linked DIME Sample IDNA
The fabricator/manufacturer/facility nameDeer Creek Porterville Transportation Laboratory (TL) NumberHDQTRS Lab
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-54-0021::DEER CREEK ASPHALT
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 collectedFrom 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 Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2019-56 Date Created04/23/2019
JMF Submittal IDJMF3511-208-2019-78 JMF StatusSubmittal Rejected For Use
Producer Mix ID17-1011.247_C Rejected Date05/22/2019

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-12-11-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Bang Nguyen, CT HQ - Sacramento Aggregate Testing Laboratory05/10/2019Bang Nguyen
Yes
05/16/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-04-12-11-1 AASHTO T27-14 (Verified)