Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2020-10-25-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-5-9.7/24.9 |
| Award Date | 05/01/2019 |
| Closeout Date | 02/22/2024 |
| Work Description | Not set |
| Location Description | Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct |
| QA Service Level | 1 (Verified on 07/19/2019) |
Sample Information
| Sample Taken Date | 10/25/2020 | Sample Unique Key | 10 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/07/2021 | Sample type | Verification |
| A brief description of the sample | PG 64-28m Valero | The quantity of what the sample constitutes | JMF Verification |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | J. Buscheck (WITNESS) |
| Last name of sampler or witnessed by | Teichert Personnel (SAMPLER) | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | JMF21-002 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Teichert Perkins Batch 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 64-28 M |
|---|---|---|---|
| Modified | Yes | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
| HMA Type | Not set | HMA Supplier Mix ID Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-34 | Date Created | 03/19/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-46 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | PN202002-SRF | Authorized Date | 09/10/2021 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||