Sample Record
Owner Labs
- RMA Group - Rancho Cordova
- RJ Noble Company
DIME Sample ID 2021-04-08-28
Project Information
| Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for JMF Prequalification Program. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 04/08/2021 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | 3/4 HMA A |
| The quantity of what the sample constitutes | JMF4 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Drake | Last name of sampler or witnessed by | Gustafson |
| Title of sampler | Lab Tech | Telephone number of sampler | 714-880-2516 |
| Laboratory sample identification | 36R1504SPWO | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | RJ Noble Co Orange | 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 or name of Pit) | 91-33-0035::EAGLE VALLEY QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 51 | A detailed description of where the material sample was collected | stock pile |
| 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 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-08-28-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-04-08-28-2 CTM 202-November 2011 (Verified)