Sample Record
Owner Lab
- Holliday Rock Company, Incorporated
DIME Sample ID 2021-03-29-26
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 03/29/2021 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | Natural Sand |
| The quantity of what the sample constitutes | 60 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Tom | Last name of sampler or witnessed by | Milum |
| Title of sampler | Lab Supervisor | Telephone number of sampler | (909) 982-1553 |
| Laboratory sample identification | Mojave | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Holliday Rock Co 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) | 91-15-0080::MOJAVE QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Mojave Aggregate | The fabricator/manufacturer designation for the sample | Mojave |
| The plant number | A detailed description of where the material sample was collected | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||