Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-06-21-11

Project Information

Project IdentifiersProject ID: 212031
DEA: 021H8804
EFIS: 0216000015
DIST-CO-RTE-PM02-SHA-VAR-VAR
Award Date06/12/2017
Closeout Date09/02/2020
Work DescriptionPOLYESTER CONCRETE OVERLAY, JOINT SEALS, HMA, GUARDRAIL, STRIPING
Location DescriptionSHASTA COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 07/28/2017)

Sample Information

Sample Taken Date06/21/2018 Sample Unique Key11
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 testing06/22/2018
Sample typeAcceptance A brief description of the sample3/4 HMA A 25 rap, PG58-34m
The quantity of what the sample constitutes2 boxs From where was the sample collectedManufacturer
First name of sampler or witnessed byCGI Last name of sampler or witnessed byCGI
Title of samplerCGI Telephone number of samplerUnknown
Laboratory sample identificationD77470 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJF Shea Fawndale Transportation Laboratory (TL) NumberT101 C 736693
Inspector Lot Number from the Transportation Laboratory (TL) FormT101 C 736693 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
2018-06-21-11-1AASHTO 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 Lab06/23/2018Terry McCormick
No
3/4 HMA A, 25% rap, PG 58-34m Valero. Info
2018-06-21-11-2AASHTO 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 Lab06/25/2018Terry McCormick
No
3/4 HMA A, 25% rap, PG 58-34m Valero. Info