Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2019-04-12-11
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Project Information
| Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for JMF Prequalification Program. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 04/12/2019 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 04/22/2019 |
| Sample type | Verification | A brief description of the sample | Virgin Aggregate |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Martiniano | Last name of sampler or witnessed by | Ruiz |
| Title of sampler | Mat and Res Eng Aso Spc | Telephone number of sampler | 5592894416 |
| Laboratory sample identification | 019-005-Agg 19-JMFPP-0089 | Linked DIME Sample ID | NA |
| The fabricator/manufacturer/facility name | Deer Creek Porterville | Transportation Laboratory (TL) Number | HDQTRS Lab |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-54-0021::DEER CREEK ASPHALT |
|---|---|---|---|
| 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 | From the plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2019-56 | Date Created | 04/23/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-208-2019-78 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | 17-1011.247_C | Rejected Date | 05/22/2019 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-12-11-1 AASHTO T27-14 (Verified)