Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2017-04-24-7
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Project Information
| Project Identifiers | Project ID: 212680 DEA: 024F5504 EFIS: 0213000005 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-89-20.9 - 21.2 |
| Award Date | 11/14/2017 |
| Closeout Date | 05/15/2019 |
| Work Description | BRIDGE REPLACEMENT WITH PRE-CAST I-GIRDER AND RECONSTRUCT HIGHWAY |
| Location Description | SISKIYOU COUNTY NEAR MCCLOUD FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF MUD CREEK BRIDGE |
| QA Service Level | 1 (Verified on 02/12/2018) |
Sample Information
| Sample Taken Date | 04/24/2017 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 04/24/2017 |
| Sample type | Verification | A brief description of the sample | Contractor Data for JMF |
| The quantity of what the sample constitutes | JMF | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Allegretto |
| Title of sampler | PEI | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77366 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Valero-Benicia Asphalt Plant | Transportation Laboratory (TL) Number | 853535 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-28 PM |
|---|---|---|---|
| Modified | Not set | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
| HMA Pay | No |
JMF Information
| Verification ID | JMF3513-2018-20 | Date Created | 07/10/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2018-35 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | L170303 | Authorized Date | 06/18/2018 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-04-24-7-1 AASHTO T228-09r13 (Verified)