Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-03-02-33
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215073 DEA: 034H5604 EFIS: 0318000332 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-65-R12.9/R13.1 |
| Award Date | 09/02/2020 |
| Closeout Date | 09/23/2021 |
| Work Description | CONSTRUCT SLOPE PAVING AND PLACE EROSION CONTROL. |
| Location Description | PLACER COUNTY IN LINCOLN AT THE SOUTH INGRAM SLOUGH BRIDGE |
| QA Service Level | 1 (Verified on 09/10/2020) |
Sample Information
| Sample Taken Date | 03/02/2021 | Sample Unique Key | 33 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 03/02/2021 |
| Sample type | Verification | A brief description of the sample | PG 64-16 (mix 3/4" HMA - A w/12% RAP) |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Vulcan Personnel (SAMPLER) | Last name of sampler or witnessed by | David Drane (WITNESS) |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | JMF21-008 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Materials Company - Roseville | Transportation Laboratory (TL) Number | c764977 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Marathon Petroleum Co. LP - Elk Grove CA | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-43 | Date Created | 04/08/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-55 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 220989 | Authorized Date | 09/10/2021 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||