DIME - Sample Record for DIME Sample ID 2019-04-29-25

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2019-04-29-25

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Project Information

Project Identifiers	Project ID: 213720 DEA: 024H2004 EFIS: 0218000094
DIST-CO-RTE-PM	02-SHA-89-26.3/29.2
Award Date	12/19/2018
Closeout Date	08/06/2019
Work Description	PAVEMENT OVERLAY
Location Description	SHASTA COUNTY ABOUT 10 MILES NORTH OF BURNEY FROM 0.3 MILE NORTH OF CLARK CREEK ROAD TO LAKE BRITTON BRIDGE
QA Service Level	1 (Verified on 01/04/2019)

Sample Information

Sample Taken Date	04/29/2019	Sample Unique Key	25
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	04/30/2019
Sample type	Verification	A brief description of the sample	PG 58-34 M (Albina – Madras)
The quantity of what the sample constitutes	JMF Verification	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	TET	Telephone number of sampler
Laboratory sample identification	D77859	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Shaw Pit Facility	Transportation Laboratory (TL) Number	827787
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name		Bid Item	Not set

Material Information

Material Type	Asphalt Binder	Performance Grade	PG 58-34 M
Modified	Yes	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

JMF Information

Verification ID	JMF3513-2019-65	Date Created	05/31/2019
JMF Submittal ID	JMF3511-22-2019-96	JMF Status	Submittal Authorized For Use
Producer Mix ID	19-1278.105B	Authorized Date	06/07/2019

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2019-04-29-25-1	AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)	Albina, CT D02 - Redding Northern Regional Laboratory	04/30/2019		Yes	06/06/2019		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-04-29-25-1 AASHTO T228-09r13 (Verified)