Sample Record

DIME Sample ID 2022-01-21-49

Project Information

Project IdentifiersProject ID: 993183
DEA: 031H2704
EFIS: 0316000082
DIST-CO-RTE-PM03-YUB-70-R11.2/13.5
Award Date10/14/2021
Closeout DateNot set
Work DescriptionUPGRADE BRIDGE RAILS & CONSTRUCT CONCRETE MEDIAN BARRIER.
Location DescriptionYUBA COUNTY NEAR LINDA AND MARYSVILLE FROM 2.4 MILES SOUTH OF FEATHER RIVER BOULEVARD UNDERCROSSING TO THE YUBA RIVER BRIDGE AND OVERHEAD
QA Service Level1 (Verified on 08/16/2021)

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

Sample Information

Sample Taken Date01/21/2022 Sample Unique Key49
Date that the sample was received by the laboratory/organization performing the testing02/10/2022 Sample typeVerification
A brief description of the samplepg 64-16 PNW The quantity of what the sample constitutes12 boxes of HMA, 2 cans of binder
From where was the sample collectedSupplier First name of sampler or witnessed byZack
Last name of sampler or witnessed byMason Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namePNW
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierPacific Northwest Oil - Stockton CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

JMF Information

Verification IDJMF3513-2022-3 Date Created03/22/2022
JMF Submittal IDJMF3511-23-2022-4 JMF StatusSubmittal Authorized For Use
Producer Mix IDHR-22751000 Authorized Date02/18/2022

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments