Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-04-05-28
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214764 DEA: 032H6404 EFIS: 0317000167 |
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DIST-CO-RTE-PM | 03-SAC-12,160-0.4/0.9,L10.5/R0.2 |
Award Date | 05/20/2020 |
Closeout Date | 05/11/2022 |
Work Description | MODIFY SIGNAL AND LIGHTING SYSTEM, PLACE RHMA AND ROADWAY EXCAVATION. |
Location Description | SACRAMENTO COUNTY NEAR RIO VISTA ON ROUTE 12 FROM 0.6 MILE EAST OF SACRAMENTO RIVER BRIDGE TO 5.2 MILES WEST OF MOKELUMNE RIVER BRIDGE AND ON ROUTE 160 FROM 3.6 MILES NORTH OF THREE MILE SLOUGH BRIDGE TO 2.7 MILES SOUTH OF CIRCLE DRIVE |
QA Service Level | 1 (Verified on 03/24/2020) |
Sample Information
Sample Taken Date | 04/05/2021 | Sample Unique Key | 28 |
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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 | 04/06/2021 |
Sample type | Verification | A brief description of the sample | 3/4" (Nominal Size) 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 | George Reed Personnel (SAMPLER) | Last name of sampler or witnessed by | Moses Onejeme (WITNESS) |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | JMF21-011 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | George Reed Inc- Clements Batch Plant | Transportation Laboratory (TL) Number | C123456 |
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) | 91-03-0020::JACKSON VALLEY 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 | 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 | JMF3513-2021-50 | Date Created | 05/06/2021 |
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JMF Submittal ID | JMF3511-23-2021-62 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | 2021-CLM-004R-VSS | 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: 2021-04-05-28-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-04-05-28-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-04-05-28-3 AASHTO T176-08 (Verified)
DIME Test ID: 2021-04-05-28-4 AASHTO T304-11 (Verified)
DIME Test ID: 2021-04-05-28-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-04-05-28-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2021-04-05-28-7 AASHTO T85-13 (Verified)
DIME Test ID: 2021-04-05-28-8 AASHTO T84-14 (Verified)
DIME Test ID: 2021-04-05-28-9 AASHTO T27-14 (Verified)