Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2017-04-24-8
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Project Information
| Project Identifiers | Project ID: 212574 DEA: 02368414 EFIS: 0215000066 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-R4.6/R6.4 |
| Award Date | 10/13/2017 |
| Closeout Date | 11/24/2021 |
| Work Description | CONSTRUCT OVERCROSSING, WIDEN WITH HMA AND AB, AND OVERLAY WITH HMA |
| Location Description | SHASTA COUNTY NEAR PALO CEDRO FROM CLOUGH CREEK BRIDGE TO 0.6 MILE WEST OF DESCHUTES ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/28/2017) |
Sample Information
| Sample Taken Date | 04/24/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 04/24/2017 |
| Sample type | Verification | A brief description of the sample | PG 64-16 |
| The quantity of what the sample constitutes | JMF Design | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Design | Last name of sampler or witnessed by | Design |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Valero - Benicia, CA | 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 | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | Not set | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
| HMA Pay | No |
JMF Information
| Verification ID | JMF3513-2018-22 | Date Created | 07/16/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2018-37 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | L170860 | Authorized Date | 06/25/2018 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2017-04-24-8-1 | AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity) | CEM-3512, CT D02 - Redding Northern Regional Laboratory | 04/24/2017 | Ward Jenkins | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-04-24-8-1 AASHTO T228-09r13