DIME - Sample Record for DIME Sample ID 2018-05-15-31

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Sample Record

DIME Sample ID 2018-05-15-31

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Project Information

Project Identifiers	Project ID: 212887 DEA: 024F79U4
DIST-CO-RTE-PM	02-SHA-151-5.5/R5.8
Award Date	01/29/2018
Closeout Date	01/08/2019
Work Description	HMA/RHMA PAVING AND ADA SIDEWALK WORK.
Location Description	SHASTA COUNTY IN SHASTA LAKE CITY FROM PANCAKE HILL DRIVE TO LOCUST AVENUE
QA Service Level	1 (Verified on 04/09/2018)

Owner Lab

CT D02 - Redding Northern Regional Laboratory

Sample Information

Sample Taken Date	05/15/2018	Sample Unique Key	31
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 64-16 CR	The quantity of what the sample constitutes	JMF Verification
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Anthony
Last name of sampler or witnessed by	Ortiz	Title of sampler	Tester
Telephone number of sampler	Unknown	Laboratory sample identification	D77383
Linked DIME Sample ID	Unknown	The fabricator/manufacturer/facility name	Tullis Inc, Northstate Asphalt, Redding CA
Transportation Laboratory (TL) Number	002177	Inspector Lot Number from the Transportation Laboratory (TL) Form	JMF 18-11-S1
Structure unique identifier	Not set	Structure name	Not set
Bid Item	Not set

Material Information

Material Type	Asphalt Binder	Performance Grade	PG 64-16 CR
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 Type	Not set	HMA Supplier Mix ID Number	Not set
HMA Pay	No

JMF Information

Verification ID	JMF3513-2018-25	Date Created	08/02/2018
JMF Submittal ID	JMF3511-22-2018-40	JMF Status	Submittal Authorized For Use
Producer Mix ID	L180451	Authorized Date	08/06/2018

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2018-05-15-31-1	AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)	CT 367, CT D02 - Redding Northern Regional Laboratory	05/15/2018		Yes	08/02/2018		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2018-05-15-31-1 AASHTO T228-09r13 (Verified)