Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-04-09-16

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212886
DEA: 023H1204
DIST-CO-RTE-PM02-TEH-5-R0.0/R22.4
Award Date01/03/2018
Closeout Date02/06/2019
Work DescriptionCOLD PLANE RAC-O, PLACE RHMA-O, REPLACE AC SURFACING, MBGR
Location DescriptionTEHAMA COUNTY AT AND NEAR CORNING FROM GLENN COUNTY LINE TO 0.3 MILE NORTH OF BRANCH COYOTE CREEK BRIDGE
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date04/09/2018 Sample Unique Key16
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 testing04/10/2018
Sample typeVerification A brief description of the samplePG 64-10
The quantity of what the sample constitutesJMF Verification From where was the sample collectedOther
First name of sampler or witnessed byJMF Last name of sampler or witnessed byJMF
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationD77319 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameValero - Benicia, CA Transportation Laboratory (TL) Number852096
Inspector Lot Number from the Transportation Laboratory (TL) Form1-5 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-10
ModifiedNot set Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Asphalt Binder SupplierNot set MultigradeNot set
Multigrade TypeNot set JMF Verification ID JMF3513-2018-21
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-04-09-16-1AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)CEM-3512CT D02 - North Region Materials Lab04/17/2018Ward Jenkins
Yes
07/13/2018