Sample Record

Owner Lab

  • Blue Mountain Minerals

DIME Sample ID 2022-02-22-4

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date02/22/2022 Sample Unique Key4
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 testingNot set
Sample typeAggregate Prequalification Program A brief description of the sample1.5" Drain Rock
The quantity of what the sample constitutes(3) x 5-gallon pales From where was the sample collectedSource
First name of sampler or witnessed bySean Last name of sampler or witnessed bySimmons
Title of samplerAccount Manager Telephone number of sampler209-533-0127 x 117
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Mountain Minerals - Columbia Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-55-0002::BLUE MOUNTAIN MINERALS
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 collectedFront Scale Stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1-1/2 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.