Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2020-04-17-19
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212914 DEA: 031E0604 EFIS: 0312000068 |
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DIST-CO-RTE-PM | 03-YUB-70-15.5/16.5 |
Award Date | 07/31/2019 |
Closeout Date | 08/30/2023 |
Work Description | SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055. |
Location Description | NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019. |
QA Service Level | 1 (Verified on 08/22/2019) |
Sample Information
Sample Taken Date | 04/17/2020 | Sample Unique Key | 19 |
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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 testing | 04/20/2020 |
Sample type | Verification | A brief description of the sample | 3/4 inch RHMA-G |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Kenny witness not sampler | Last name of sampler or witnessed by | McHugh witness not sampler |
Title of sampler | Teichert Personnel | Telephone number of sampler | |
Laboratory sample identification | JMF20-018 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Teichert Hallwood | Transportation Laboratory (TL) Number | C741852 |
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) | 91-58-0006::HALLWOOD PLANT |
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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 | Cold Feed | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-221 | Date Created | 11/20/2020 |
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JMF Submittal ID | JMF3511-23-2020-309 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | HD201913 | 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: 2020-04-17-19-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2020-04-17-19-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2020-04-17-19-3 AASHTO T176-08 (Verified)
DIME Test ID: 2020-04-17-19-4 AASHTO T304-11 (Verified)
DIME Test ID: 2020-04-17-19-5 ASTM D4791-10 (Verified)
DIME Test ID: 2020-04-17-19-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2020-04-17-19-7 AASHTO T85-13 (Verified)
DIME Test ID: 2020-04-17-19-8 AASHTO T84-14 (Verified)
DIME Test ID: 2020-04-17-19-9 AASHTO T27-14 (Verified)