Sample Record

DIME Sample ID 2021-02-16-36

Project Information

Project IdentifiersProject ID: 214515
DEA: 024F6004
EFIS: 0213000012
DIST-CO-RTE-PM02-SIS,TRI-36,96,299-VAR
Award Date01/14/2020
Closeout Date08/24/2022
Work DescriptionBRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT.
Location DescriptionSISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 01/22/2020)

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

Sample Information

Sample Taken Date02/16/2021 Sample Unique Key36
Date that the sample was received by the laboratory/organization performing the testing02/16/2021 Sample typeVerification
A brief description of the samplePG 64-28 M The quantity of what the sample constitutesJMF Verification
From where was the sample collectedManufacturer First name of sampler or witnessed byCindy
Last name of sampler or witnessed byBryant Title of sampler
Telephone number of sampler Laboratory sample identificationD78746
Linked DIME Sample ID The fabricator/manufacturer/facility nameValero - Benicia, CA
Transportation Laboratory (TL) Number815632 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28 M
ModifiedYes Lot number
Sublot number Tank number
Time of sample HMA SupplierMercer-Fraser Company – Willow Creek Plant (Willow Creek, CA)
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

JMF Information

Verification IDJMF3513-2021-40 Date Created04/02/2021
JMF Submittal IDJMF3511-22-2021-52 JMF StatusSubmittal Rejected For Use
Producer Mix IDL202327 Rejected Date08/19/2024

Submitted Tests

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