Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2019-05-07-18
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Project Information
| Project Identifiers | Project ID: 212562 DEA: 024G5504 EFIS: 0214000036 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-2.7/R11.4 |
| Award Date | 03/12/2018 |
| Closeout Date | 10/05/2020 |
| Work Description | RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS |
| Location Description | SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS |
| QA Service Level | 1 (Verified on 04/04/2018) |
Sample Information
| Sample Taken Date | 05/07/2019 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 05/07/2019 |
| Sample type | Verification | A brief description of the sample | PG 58-34 M (Valero – Benicia, CA) |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | CEM 3512 | Last name of sampler or witnessed by | CEM 3512 |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero-Benicia Asphalt Plant | Transportation Laboratory (TL) Number | |
| 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 | JMF3513-2020-94 | Date Created | 02/07/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2020-137 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 18-1001.305-23.6%,_(modified) | Authorized Date | 06/11/2019 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-05-07-18-1 AASHTO T228-09r13 (Verified)