DIME - Sample Record for DIME Sample ID 2018-02-20-30

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Sample Record

Owner Lab

CT D01 - District 1 Materials Laboratory

DIME Sample ID 2018-02-20-30

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Project Information

Project Identifiers	Project ID: 212852 DEA: 010H7604
DIST-CO-RTE-PM	01-MEN-101-33.0/42.0
Award Date	10/10/2017
Closeout Date	08/06/2020
Work Description	Fire Damage Repairs: Roadway Repair, Drainage/Slope Repair, Erosion Control, Fencing, MBGR and Sign Replacement, Hazard Tree and Debris Removal.
Location Description	Not set
QA Service Level	1 (Verified on 01/26/2018)

Sample Information

Sample Taken Date	02/20/2018	Sample Unique Key	30
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	02/22/2018
Sample type	Verification	A brief description of the sample	RAP
The quantity of what the sample constitutes	JMF Verification	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	a	Last name of sampler or witnessed by	e
Title of sampler	Unknown	Telephone number of sampler	Unknown
Laboratory sample identification	Unknown	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	granite ukiah	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Not set
Structure name	Not set

Material Information

Material Type	Reclaimed Asphalt Pavement	RAP Source	granite ukiah
Aggregate Size	Unknown	Aggregate Source	Unknown
RAP Stockpile	Static	Stockpile Size (tons)	Unknown
Reclaimed Asphalt Pavement Mix Number	Not set	HMA Pay	No

JMF Information

Verification ID	JMF3513-2018-13	Date Created	04/11/2018
JMF Submittal ID	JMF3511-21-2018-22	JMF Status	Submittal Accepted for Verification
Producer Mix ID	1060_1/2"HMA64-16R15LAS-SP	Authorized Date	N/A

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2018-02-20-30-1	AASHTO T30-15: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)	Leif Ayres, CT D01 - District 1 Materials Laboratory	04/13/2018	Leif Ayres	Yes	04/20/2018

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2018-02-20-30-1 AASHTO T30-15 (Verified)