Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-05-30-3

Project Information

Project IdentifiersProject ID: 212784
DEA: 023H1504
EFIS: 0217000064
DIST-CO-RTE-PM02-LAS-299-0.0/4.7
Award Date11/30/2017
Closeout Date01/08/2019
Work DescriptionAC OVERLAY, REPLACE ASPHALT CONCRETE SURFACING AND GUARDRAIL.
Location DescriptionLASSEN COUNTY NEAR MCARTHUR FROM SHASTA COUNTY LINE TO 4.0 MILES WEST OF MUCK VALLEY HYDRO ROAD.
QA Service Level1 (Verified on 05/03/2018)

Sample Information

Sample Taken Date05/30/2018 Sample Unique Key3
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 testing05/31/2018
Sample typeAcceptance A brief description of the sample3/4HMA A 25rap PG58-34m Valero
The quantity of what the sample constitutes2 boxs From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identificationD77430 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJF Shea Fawndale Transportation Laboratory (TL) NumberT101 C736680
Inspector Lot Number from the Transportation Laboratory (TL) FormT101 C736680 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot numberNot set
Sublot numberNot set HMA Design ID
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-30-3-1AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Terry McCormickCT D02 - North Region Materials Lab06/01/2018Terry McCormick
No
3/4HMA A 25rap PG58-34m Valero. Info
2018-05-30-3-2AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Terry McCormickCT D02 - North Region Materials Lab06/01/2018Terry McCormick
No
3/4HMA A 25rap PG58-34m Valero Info