Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2021-01-29-3
Project Information
Project Identifiers | Project ID: 99999 DEA: 0322222 |
---|---|
DIST-CO-RTE-PM | 03-SAC,OMG-888,99,80-0.6-0.6 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
Location Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
QA Service Level | (Verified on 04/05/2013) |
Sample Information
Sample Taken Date | 01/29/2021 | 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 | 01/29/2021 |
Sample type | Verification | A brief description of the sample | 3 bins (1/4", 3/8", 1/2", mineral filler) 2 bags per bin |
The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Source |
First name of sampler or witnessed by | john | Last name of sampler or witnessed by | doe |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Syar Industries Inc | 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) | 91-48-0002::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 | Hot bins | |
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 | JMF3513-2021-15 | Date Created | 01/29/2021 |
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JMF Submittal ID | JMF3511-208-2021-20 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | test-dry-run | Authorized Date | N/A |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |