Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-03-15-14
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214492 DEA: 033F5404 EFIS: 0313000136 |
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DIST-CO-RTE-PM | 03-SAC-99,160-4.5/5.7,R44.5 |
Award Date | 01/24/2020 |
Closeout Date | 07/28/2022 |
Work Description | FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE. |
Location Description | SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE |
QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
Sample Taken Date | 03/15/2021 | Sample Unique Key | 14 |
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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 | 03/15/2021 |
Sample type | Verification | A brief description of the sample | 3/4" (Nominal sized) untreated Virgin Aggregate |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Sam Mossallem (WITNESS) | Last name of sampler or witnessed by | Teichert Personnel (SAMPLER) |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | JMF21-012 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Teichert Perkins Batch Plant | Transportation Laboratory (TL) Number | C849136 |
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) | 91-34-0045::ASPEN IV SOUTH |
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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 | Batch Plant Hot Bins | |
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 | JMF3513-2021-47 | Date Created | 04/26/2021 |
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JMF Submittal ID | JMF3511-23-2021-59 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | PN202102-SP | Authorized Date | 09/10/2021 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-03-15-14-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-03-15-14-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-03-15-14-3 AASHTO T176-08 (Verified)
DIME Test ID: 2021-03-15-14-4 AASHTO T304-11 (Verified)
DIME Test ID: 2021-03-15-14-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-03-15-14-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2021-03-15-14-7 AASHTO T85-13 (Verified)
DIME Test ID: 2021-03-15-14-8 AASHTO T84-14 (Verified)
DIME Test ID: 2021-03-15-14-9 AASHTO T27-14 (Verified)