Sample Record
Owner Labs
- BSK Associates
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2020-07-24-33
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Project Information
| Project Identifiers | Project ID: 214289 EFIS: 0000001157 Permit Numbers: 0514NMC0478 0519NRT0383 0519NRT0001 0519NRD0572 |
|---|---|
| DIST-CO-RTE-PM | 05---6.9 |
| Award Date | 01/05/2018 |
| Closeout Date | 08/23/2021 |
| Work Description | Reference Permit #0514-NMC-0478 on all correspondence. Note #0519-NRT-0383 is just a time extension for the original permit. Work Desc: Widen Blosser Road to provide a right turn lane for the northbound approach to West Main Street (State Route 166). |
| Location Description | W. Main Street (Hwy 166), Santa Maria |
| QA Service Level | 1 (Verified on 08/07/2019) |
Sample Information
| Sample Taken Date | 07/24/2020 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 07/24/2020 |
| Sample type | Verification | A brief description of the sample | 1/2" Virgin Aggregate |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Syd | Last name of sampler or witnessed by | Valeh |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dutra | Transportation Laboratory (TL) Number | |
| 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) | 91-21-0008 |
|---|---|---|---|
| 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 | Dutra Richmond | |
| 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 | JMF3513-2020-182 | Date Created | 08/11/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-318-2020-264 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | L200183 | Authorized Date | N/A |
Submitted Tests
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Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-24-33-1 AASHTO T27-14 (Verified)
DIME Test ID: 2020-07-24-33-2 AASHTO T85-13 (Verified)
DIME Test ID: 2020-07-24-33-3 AASHTO T84-14 (Verified)
DIME Test ID: 2020-07-24-33-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2020-07-24-33-5 AASHTO T176-08 (Verified)
DIME Test ID: 2020-07-24-33-6 AASHTO T304-11 (Verified)
DIME Test ID: 2020-07-24-33-7 AASHTO T335-09r13 (Verified)
DIME Test ID: 2020-07-24-33-8 ASTM D4791-10 (Verified)
DIME Test ID: 2020-07-24-33-9 AASHTO T85-13 (Verified)
DIME Test ID: 2020-07-24-33-10 AASHTO T85-13 (Verified)
DIME Test ID: 2020-07-24-33-11 CTM 204-June 2010 (Verified)