Sample Record
Owner Lab
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2021-07-13-32
Project Information
| Project Identifiers | Project ID: 215660 DEA: 040W3804 EFIS: 0420000211 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-92-R9.5/R10.4 |
| Award Date | 05/18/2021 |
| Closeout Date | 05/26/2022 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RHMA (G). |
| Location Description | SAN MATEO COUNTY IN SAN MATEO FROM 0.1 MILE EAST OF WEST HILLSDALE BOULEVARD UNDERCROSSING TO 0.1 MILE WEST OF ALAMEDA DE LAS PULGAS OVERCROSSING |
| QA Service Level | 1 (Verified on 05/03/2021) |
Sample Information
| Sample Taken Date | 07/13/2021 | Sample Unique Key | 32 |
|---|---|---|---|
| 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 | 07/26/2021 |
| Sample type | Verification | A brief description of the sample | 14 Boxes of HMA-A w/WMA |
| The quantity of what the sample constitutes | 14 boxes | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Tanh Ng | Last name of sampler or witnessed by | Tanh Ng |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Concrete Redwood City Plant | 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 | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 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 | JMF3513-2021-69 | Date Created | 08/11/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-318-2021-87 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 937 | Authorized Date | 09/03/2021 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-07-13-32-1 AASHTO T209-12 (Verified)
DIME Test ID: 2021-07-13-32-2 AASHTO T275-07r12 (Verified)
DIME Test ID: 2021-07-13-32-3 AASHTO T269-14 (Verified)
DIME Test ID: 2021-07-13-32-4 AASHTO T324-14 (Verified)
DIME Test ID: 2021-07-13-32-5 AASHTO T308-10 (Verified)
DIME Test ID: 2021-07-13-32-6 AASHTO T283-14 (Verified)
