Sample Record
DIME Sample ID 2021-04-20-21
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Project Information
| Project Identifiers | Project ID: 215307 DEA: 033F5004 EFIS: 0313000019 |
|---|---|
| DIST-CO-RTE-PM | 03-GLE-5-R7.4/R17.0 |
| Award Date | 01/04/2021 |
| Closeout Date | 11/30/2021 |
| Work Description | PLACE HMA (TYPE A) AND MODIFY INTERCONNECTION CONDUIT AND CABLE. |
| Location Description | GLENN COUNTY IN AND NEAR WILLOWS AT VARIOUS LOCATIONS FROM COUNTY ROAD 57 OVERCROSSING TO COUNTY ROAD 33 OVERCROSSING |
| QA Service Level | 1 (Verified on 12/02/2020) |
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
Sample Information
| Sample Taken Date | 04/20/2021 | Sample Unique Key | 21 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/29/2021 | Sample type | Department Acceptance |
| A brief description of the sample | PG 64-16 | The quantity of what the sample constitutes | one out of one |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Brad (WITNESS) |
| Last name of sampler or witnessed by | McKeehan | Title of sampler | TET |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Knife River Construction - Orland Drum Plant | |
| Transportation Laboratory (TL) Number | C724330 | 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 64-16 |
|---|---|---|---|
| Modified | No | Lot number | 1 |
| Sublot number | 2 | Tank number | |
| Time of sample | HMA Supplier | KRC Orland | |
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| 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 | JMF3513-2021-39 | Date Created | 04/02/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-51 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | OR-22771000 | 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. | |||