Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-06-17-51
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215627 DEA: 032G2004 EFIS: 0321000024 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-128-0.0/9.8 |
| Award Date | 05/11/2021 |
| Closeout Date | 01/20/2022 |
| Work Description | PLACE RHMA AND REPLACE ASPHALT CONCRETE. |
| Location Description | YOLO COUNTY IN AND NEAR WINTERS FROM PUTAH CREEK BRIDGE TO ROUTE 128/505 SEPARATION |
| QA Service Level | 1 (Verified on 03/29/2021) |
Sample Information
| Sample Taken Date | 06/17/2021 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 07/21/2021 |
| Sample type | Verification | A brief description of the sample | PG64-16 Asphalt Rubber Binder |
| The quantity of what the sample constitutes | 3 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Mosallem |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Marathon western base | 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 Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | |
| Sublot number | Asphalt Rubber Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-67 | Date Created | 08/09/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-85 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 306-40532500-M | 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. | |||