Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2020-03-27-3
Project Information
Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
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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 | 03/27/2020 | Sample Unique Key | 3 |
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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 testing | 03/27/2020 |
Sample type | Verification | A brief description of the sample | 1/2" Untreated Aggregate for Type A HMA mix design |
The quantity of what the sample constitutes | 4 bags 1/2", 4 bags 3/8", 1 bag 1/4", and 1 bag mineral filler | From where was the sample collected | Source |
First name of sampler or witnessed by | Ed | Last name of sampler or witnessed by | Gamboa |
Title of sampler | MREA | Telephone number of sampler | 2094977814 |
Laboratory sample identification | 20-JMF-0040 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Syar Industries | Transportation Laboratory (TL) Number | NA |
Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | |
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-48-0002::LAKE HERMAN QUARRY |
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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 collected | Bins 1, 2, 3, and 4 | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-103 | Date Created | 04/03/2020 |
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JMF Submittal ID | JMF3511-208-2020-147 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | 311101510-LB_0320 | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-03-27-3-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2020-03-27-3-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2020-03-27-3-3 AASHTO T176-08 (Verified)
DIME Test ID: 2020-03-27-3-4 AASHTO T304-11 (Verified)
DIME Test ID: 2020-03-27-3-5 ASTM D4791-10 (Verified)
DIME Test ID: 2020-03-27-3-6 AASHTO T85-13 (Verified)
DIME Test ID: 2020-03-27-3-7 AASHTO T84-14 (Verified)
DIME Test ID: 2020-03-27-3-8 AASHTO T27-14 (Verified)
DIME Test ID: 2020-03-27-3-9 ASTM D4791-10 (Verified)