Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2019-09-27-23

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 Date09/27/2019 Sample Unique Key23
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 inch HMA-SP WMA PG 64-16
The quantity of what the sample constitutes1 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 Lake Herman Drum Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-48-0002::LAKE HERMAN QUARRY
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 collectedPlant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/4 inch
The concrete mix design number Lot number
Sublot number HMA Design ID JMF3512-2019-133-311101510-LD_0919

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-09-27-23-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Marina KamelCT HQ - Sacramento Concrete Testing Laboratory09/27/2019Ruben Macias
Yes
10/29/2019aggregate gradation sample 2 1/4inch X 0 T-27

Test Card Drafts

Material TypeTest MethodSaved ByDate SavedActions
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