DIME - Sample Record for DIME Sample ID 2018-05-15-38

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2018-05-15-38

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Project Information

Project Identifiers	Project ID: 212679 DEA: 023E7204 EFIS: 0200020154
DIST-CO-RTE-PM	02-TEH-36-42.1/46.0
Award Date	12/18/2017
Closeout Date	08/07/2019
Work Description	COLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK.
Location Description	TEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD
QA Service Level	1 (Verified on 05/24/2018)

Sample Information

Sample Taken Date	05/15/2018	Sample Unique Key	38
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	Asphalt Rubber Binder, 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	Cheryl	Last name of sampler or witnessed by	Abraham
Title of sampler	TET	Telephone number of sampler	Unknown
Laboratory sample identification	D77386	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Tullis, Inc - Northstate Asphalt - Redding, CA	Transportation Laboratory (TL) Number	894975
Inspector Lot Number from the Transportation Laboratory (TL) Form	18-09-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 Pay	No

JMF Information

Verification ID	JMF3513-2018-27	Date Created	08/14/2018
JMF Submittal ID	JMF3511-22-2018-42	JMF Status	Submittal Authorized For Use
Producer Mix ID	L180371	Authorized Date	08/20/2018

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2018-05-15-38-1	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	08/14/2018		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2018-05-15-38-1 AASHTO T228-09r13 (Verified)