Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-05-18-59
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214515 DEA: 024F6004 EFIS: 0213000012 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS,TRI-36,96,299-VAR |
| Award Date | 01/14/2020 |
| Closeout Date | 08/24/2022 |
| Work Description | BRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT. |
| Location Description | SISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
| Sample Taken Date | 05/18/2021 | Sample Unique Key | 59 |
|---|---|---|---|
| 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 | 05/18/2021 |
| Sample type | Verification | A brief description of the sample | 1/2-inch Type A HMA (PG 64-28 M) |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78802 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Mercer-Fraser Company, Willow Creek Plant, Willow Creek, CA | Transportation Laboratory (TL) Number | 815633 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | Not set | |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
JMF Information
| Verification ID | JMF3513-2021-63 | Date Created | 07/23/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2021-80 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | L202327 | Rejected Date | 07/26/2021 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-05-18-59-2 AASHTO T209-12 (Verified)
DIME Test ID: 2021-05-18-59-4 AASHTO T275-07r12 (Verified)
DIME Test ID: 2021-05-18-59-5 AASHTO T269-14 (Verified)
