Sample Record

Owner Lab

  • CT HQ - Hot Mix Asphalt Laboratory

DIME Sample ID 2020-07-13-6

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 Date07/13/2020 Sample Unique Key6
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 testing07/13/2020
Sample typeVerification A brief description of the sampleTreated aggregate blend
The quantity of what the sample constitutes6 bags From where was the sample collectedSource
First name of sampler or witnessed byTrenton Last name of sampler or witnessed byCrouse
Title of samplerLab Manager Telephone number of sampler
Laboratory sample identification20-HMA-0114 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Materials Tracy Transportation Laboratory (TL) NumberC827327
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)91-39-0021
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 collectedBelt Cut
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID JMF3513-2020-169

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-13-6-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Bang NguyenCT HQ - Sacramento Aggregate Testing Laboratory07/16/2020Bang Nguyen
Yes
07/16/2020