DIME - Sample Record for DIME Sample ID 2018-04-12-12

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DIME » All Projects » Project - DEA: 024E0204 » Sample 2018-04-12-12 » Sample Details

Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2018-04-12-12

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Project Information

Project Identifiers	Project ID: 212497 DEA: 024E0204 EFIS: 0200020196
DIST-CO-RTE-PM	02-SHA-299-77.8/79.7
Award Date	02/01/2018
Closeout Date	08/14/2019
Work Description	PULVERIZE AND RECONSTRUCT PAVEMENT, AND WIDEN WITH AB, HMA, & RHMA
Location Description	SHASTA COUNTY NEAR BURNEY FROM 0.2 MILE WEST OF SONOMA STREET TO 0.3 MILE WEST OF ROUTE 89
QA Service Level	1 (Verified on 06/06/2017)

Sample Information

Sample Taken Date	04/12/2018	Sample Unique Key	12
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	04/13/2018
Sample type	Verification	A brief description of the sample	PG 64-28 M
The quantity of what the sample constitutes	CoC	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Cindy	Last name of sampler or witnessed by	Bryant
Title of sampler	Unknown	Telephone number of sampler	Unknown
Laboratory sample identification	D77324	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Albina Asphalt - Klamath FAlls, OR	Transportation Laboratory (TL) Number	853527
Inspector Lot Number from the Transportation Laboratory (TL) Form	JMF 18-02-S1a	Structure unique identifier	Not set
Structure name	Not set	Bid Item	Not set

Material Information

Material Type	Asphalt Binder	Performance Grade	PG 64-28 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	JMF3513-2018-29	Date Created	08/20/2018
JMF Submittal ID	JMF3511-22-2018-43	JMF Status	Submittal Authorized For Use
Producer Mix ID	18-1278.96	Authorized Date	08/21/2018

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2018-04-12-12-1	AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)	Albina Asphalt, CT D02 - Redding Northern Regional Laboratory	03/11/2016		Yes	08/20/2018		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2018-04-12-12-1 AASHTO T228-09r13 (Verified)