Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-04-28-40
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212914 DEA: 031E0604 EFIS: 0312000068 |
|---|---|
| DIST-CO-RTE-PM | 03-YUB-70-15.5/16.5 |
| Award Date | 07/31/2019 |
| Closeout Date | 08/30/2023 |
| Work Description | SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055. |
| Location Description | NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019. |
| QA Service Level | 1 (Verified on 08/22/2019) |
Sample Information
| Sample Taken Date | 04/28/2021 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 05/10/2021 |
| Sample type | Verification | A brief description of the sample | PG64-16 PNW (base) |
| The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | McHugh |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | FNF at Hallwood Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
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 | JMF3513-2021-72 | Date Created | 08/20/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-90 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 309-40532500-P | Authorized Date | 09/15/2021 |
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. | |||