Sample Record
Owner Labs
- BSK Associates
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2021-08-13-34
Project Information
Project Identifiers | Project ID: 215605 DEA: 040W3904 EFIS: 0420000212 |
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DIST-CO-RTE-PM | 04-CC-160-L1.1/0.6 |
Award Date | 05/10/2021 |
Closeout Date | 06/29/2023 |
Work Description | COLD PLANE AC PAVEMENT AND PLACE HMA (A). |
Location Description | CONTRA COSTA COUNTY IN ANTIOCH FROM 0.2 MILE SOUTH OF MAIN STREET TO 0.1 MILE NORTH OF WILBUR AVENUE |
QA Service Level | 1 (Verified on 04/12/2021) |
Sample Information
Sample Taken Date | 08/13/2021 | Sample Unique Key | 34 |
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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 | 08/13/2021 |
Sample type | Verification | A brief description of the sample | 3 Bags of Mix Aggregates |
The quantity of what the sample constitutes | 3 Bags of Mix Aggregates | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Clint | Last name of sampler or witnessed by | Rogers |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | ABM ANTIOCH | 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) | 91-07-0004 |
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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 | ABM CONTINUOUS PLANT | |
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 | JMF3513-2021-76 | Date Created | 09/09/2021 |
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JMF Submittal ID | JMF3511-318-2021-94 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | 0007W | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-08-13-34-1 AASHTO T85-13 (Verified)
DIME Test ID: 2021-08-13-34-2 AASHTO T27-14 (Verified)
DIME Test ID: 2021-08-13-34-3 AASHTO T84-14 (Verified)
DIME Test ID: 2021-08-13-34-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-08-13-34-5 AASHTO T176-08 (Verified)
DIME Test ID: 2021-08-13-34-6 AASHTO T304-11 (Verified)
DIME Test ID: 2021-08-13-34-7 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-08-13-34-8 ASTM D4791-10 (Verified)