Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-07-19-27

Project Information

Project IdentifiersProject ID: 212679
DEA: 023E7204
EFIS: 0200020154
DIST-CO-RTE-PM02-TEH-36-42.1/46.0
Award Date12/18/2017
Closeout Date08/07/2019
Work DescriptionCOLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK.
Location DescriptionTEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD
QA Service Level1 (Verified on 05/24/2018)

Sample Information

Sample Taken Date07/19/2018 Sample Unique Key27
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 testing07/23/2018
Sample typeAcceptance A brief description of the samplePSE 1/2 RHMA-O PG 64-16CR Valero
The quantity of what the sample constitutesPSE 1 Can From where was the sample collectedManufacturer
First name of sampler or witnessed byLynn Last name of sampler or witnessed byHunnicut
Title of samplerConsultant Telephone number of samplerUnknown
Laboratory sample identificationD77570 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTullis Northstate Asphalt Transportation Laboratory (TL) NumberT101 C894822
Inspector Lot Number from the Transportation Laboratory (TL) FormT101 C894822 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeOGFC
HMA Grading1/2 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
2018-07-19-27-1AASHTO 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 Lab08/01/2018Terry McCormick
No
PSE, 1/2 HMA-O, PG64-16 CR, Valero Benicia Info
2018-07-19-27-2AASHTO 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 Lab08/02/2018Terry McCormick
No
REDO.... PSE, 1/2 HMA-O, PG64-16 CR, Valero Benicia Info