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Sample Record for 2019-09-09-20

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214236 DEA: 024H3804 EFIS: 0218000112 MINOR: 02A1831 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-36-6.6/6.6001
Work Description: Chester MS Infiltration Trench Project
Location Description: Storm Water Improvements in Plumas County about 1.9 miles West of Chester at the Chester Maintenance Station.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-09-09-20
TL Number from the TL Form: 847546
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 09/09/2019
Date that the sample was received by the laboratory/organization performing the testing: 09/10/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: PG 64-28 PM
From where was the sample collected: Manufacturer
Laboratory sample identification: D78165
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Albina Asphalt - Klamath FAlls, OR

Material Information

Performance Grade: PG 64-28 M
Modified: Yes
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2019-09-09-20-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 12/18/2019
Date Tested: 12/10/2019
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Specific Gravity 1.020