Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-04-01-24
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 | 04/01/2021 | Sample Unique Key | 24 |
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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 | 04/01/2021 |
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 | Teichert Personnel (SAMPLER) | Last name of sampler or witnessed by | Brad McKeehan (WITNESS) |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | JMF21-020A | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Teichert-Hallwood Drum Plant | Transportation Laboratory (TL) Number | C706328 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Not Applicable |
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 | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Unknown | A detailed description of where the material sample was collected | Cold Feed |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
The concrete mix design number | Not Applicable | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2021-49 | Date Created | 05/01/2021 |
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JMF Submittal ID | JMF3511-23-2021-61 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | 309-40432407-P | 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: 2021-04-01-24-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-04-01-24-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-04-01-24-3 AASHTO T176-08 (Verified)
DIME Test ID: 2021-04-01-24-4 AASHTO T304-11 (Verified)
DIME Test ID: 2021-04-01-24-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-04-01-24-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2021-04-01-24-7 AASHTO T85-13 (Verified)
DIME Test ID: 2021-04-01-24-8 AASHTO T84-14 (Verified)
DIME Test ID: 2021-04-01-24-9 AASHTO T27-14 (Verified)