Sample Record

Owner Lab

  • CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2020-10-15-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 66667
EFIS: 0019000043
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set

Sample Information

Sample Taken Date10/15/2020 Sample Unique Key2
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 testing10/15/2020
Sample typeVerification A brief description of the sample8 Bags of Aggregate
The quantity of what the sample constitutes8 Bags From where was the sample collectedFabricator
First name of sampler or witnessed byDonald Last name of sampler or witnessed byZuniga
Title of samplerNick Hill Plant QC Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSyar Industries 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, name of Pit or Job Site)91-49-0004::CANYON ROCK CO., INC.
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 collectedCanyon Rock
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-210 Date Created10/15/2020
JMF Submittal IDJMF3511-318-2020-298 JMF StatusSubmittal Accepted for Verification
Producer Mix ID311100010-TB Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-15-2-1AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Donald Zuniga, CT D04 - Hayward DME / District Laboratory09/21/2020Babak Kamranimoghaddam
2020-10-15-2-2AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Donald Zuniga, CT D04 - Hayward DME / District Laboratory10/15/2020Babak Kamranimoghaddam
2020-10-15-2-3AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Donald Zuniga, CT D04 - Hayward DME / District Laboratory09/17/2020Babak Kamranimoghaddam
2020-10-15-2-4AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Donald Zuniga, CT D04 - Hayward DME / District Laboratory09/15/2020Babak Kamranimoghaddam

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments

DIME Test ID: 2020-10-15-2-1 AASHTO T84-14 (Verified)
DIME Test ID: 2020-10-15-2-2 AASHTO T85-13 (Verified)
DIME Test ID: 2020-10-15-2-3 AASHTO T209-12 (Verified)
DIME Test ID: 2020-10-15-2-4 AASHTO T27-14 (Verified)