DIME - Sample Record for DIME Sample ID 2019-05-29-30

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2019-05-29-30

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Project Information

Project Identifiers	Project ID: 213791 DEA: 024H2204 EFIS: 0218000096
DIST-CO-RTE-PM	02-SIS-89-28.0/34.0
Award Date	01/22/2019
Closeout Date	08/13/2021
Work Description	PAVEMENT OVERLAY.
Location Description	SISKIYOU COUNTY NEAR MCCLOUD FROM 0.5 MILE SOUTH OF MOUNTAIN HOUSE ROAD TO 0.3 MILE SOUTH OF AZALEA ROAD
QA Service Level	1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date	05/29/2019	Sample Unique Key	30
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	05/29/2019
Sample type	Verification	A brief description of the sample	PG 58-34 M (Valero – Benicia)
The quantity of what the sample constitutes	JMF Verification	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Randy	Last name of sampler or witnessed by	Bibbens
Title of sampler		Telephone number of sampler
Laboratory sample identification	D77896	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Valero - Benicia, CA	Transportation Laboratory (TL) Number	991044
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	JMF3513-2019-73	Date Created	07/05/2019
JMF Submittal ID	JMF3511-22-2019-106	JMF Status	Submittal Authorized For Use
Producer Mix ID	19-1001.318-A	Authorized Date	07/17/2019

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2019-05-29-30-1	AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)	CEM-3512, CT D02 - Redding Northern Regional Laboratory	05/29/2019		Yes	07/10/2019		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-05-29-30-1 AASHTO T228-09r13 (Verified)