Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-04-23-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212562
DEA: 024G5504
EFIS: 0214000036
DIST-CO-RTE-PM02-SIS-5-2.7/R11.4
Award Date03/12/2018
Closeout Date10/05/2020
Work DescriptionRECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location DescriptionSISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
QA Service Level1 (Verified on 04/04/2018)

Sample Information

Sample Taken Date04/23/2018 Sample Unique Key10
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 testing05/15/2018
Sample typeVerification A brief description of the samplePG 58-34 M
The quantity of what the sample constitutesMix Design From where was the sample collectedOther
First name of sampler or witnessed byCEM Last name of sampler or witnessed by3512
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationCEM-3512 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameAlbina - Klamath Falls, OR Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) Form18-03-S3 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-34 M
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 JMF3513-2018-23, JMF3513-2018-42
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-04-23-10-1AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)CEM-3512CT D02 - North Region Materials Lab04/23/2018Ward Jenkins
Yes
07/30/2018