DIME - Sample Record for DIME Sample ID 2018-04-23-10

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2018-04-23-10

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Project Information

Project Identifiers	Project ID: 212562 DEA: 024G5504 EFIS: 0214000036
DIST-CO-RTE-PM	02-SIS-5-2.7/R11.4
Award Date	03/12/2018
Closeout Date	10/05/2020
Work Description	RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location Description	SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
QA Service Level	1 (Verified on 04/04/2018)

Sample Information

Sample Taken Date	04/23/2018	Sample Unique Key	10
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	05/15/2018
Sample type	Verification	A brief description of the sample	PG 58-34 M
The quantity of what the sample constitutes	Mix Design	From where was the sample collected	Other
First name of sampler or witnessed by	CEM	Last name of sampler or witnessed by	3512
Title of sampler	Unknown	Telephone number of sampler	Unknown
Laboratory sample identification	CEM-3512	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Albina - Klamath Falls, OR	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	18-03-S3	Structure unique identifier	Not set
Structure name	Not set	Bid Item	Not set

Material Information

Material Type	Asphalt Binder	Performance Grade	PG 58-34 M
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	JMF3513-2018-23	Date Created	07/19/2018
JMF Submittal ID	JMF3511-22-2018-38	JMF Status	Submittal Authorized For Use
Producer Mix ID	18-1001.305-23.6%	Authorized Date	07/31/2018

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2018-04-23-10-1	AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)	CEM-3512, CT D02 - Redding Northern Regional Laboratory	04/23/2018		Yes	07/30/2018		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2018-04-23-10-1 AASHTO T228-09r13 (Verified)