Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2019-01-29-14
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R3.8/R11.7 |
| Award Date | 11/06/2018 |
| Closeout Date | 08/16/2023 |
| Work Description | WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB |
| Location Description | SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 01/29/2019 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 02/01/2019 |
| Sample type | Verification | A brief description of the sample | 3/4-inch Type A HMA (eq. PG 64-10/16) |
| 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 | Telephone number of sampler | ||
| Laboratory sample identification | D77789 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Fawndale Rock and Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 736644 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 0 |
| Sublot number | 0 | HMA Mix Number | Not set |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
JMF Information
| Verification ID | JMF3513-2019-49 | Date Created | 02/08/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2019-66 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 19-1001.314 | Authorized Date | 02/26/2019 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-01-29-14-1 AASHTO T308-10 (Verified)
DIME Test ID: 2019-01-29-14-2 AASHTO T209-12 (Verified)
DIME Test ID: 2019-01-29-14-3 AASHTO T275-07r12 (Verified)
DIME Test ID: 2019-01-29-14-4 AASHTO T269-14 (Verified)
DIME Test ID: 2019-01-29-14-5 AASHTO T283-14 (Verified)
DIME Test ID: 2019-01-29-14-6 AASHTO T324-14 (Verified)
