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Sample Record for 2020-05-15-22


Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Contractor Address:
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-15-22
TL Number from the TL Form:
Sample Submitted By Organization: RJ NOBLE COMPANY
Sample Organization Contact: (714) 235-7028
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 05/15/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: 1/2 BIN 28%
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Source Identification (SMARA or name of Pit): 91-33-0035
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: shoot
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test Information 3 of 9

DIME Test ID: 2020-05-15-22-3
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 06/25/2020
Date Tested: 05/15/2020
Submitted By Organization: RJ NOBLE COMPANY
Organization Address: 15505 E. LINCOLN AVE PO BOX 620
Test General Comments:
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 2 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 96 %