Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-05-15-38
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Project Information
| Project Identifiers | Project ID: 212679 DEA: 023E7204 EFIS: 0200020154 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-36-42.1/46.0 |
| Award Date | 12/18/2017 |
| Closeout Date | 08/07/2019 |
| Work Description | COLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK. |
| Location Description | TEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD |
| QA Service Level | 1 (Verified on 05/24/2018) |
Sample Information
| Sample Taken Date | 05/15/2018 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 | 05/15/2018 |
| Sample type | Verification | A brief description of the sample | Asphalt Rubber Binder, PG 64-16 CR |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cheryl | Last name of sampler or witnessed by | Abraham |
| Title of sampler | TET | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77386 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Tullis, Inc - Northstate Asphalt - Redding, CA | Transportation Laboratory (TL) Number | 894975 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 18-09-S1 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 CR |
|---|---|---|---|
| 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 | JMF3513-2018-27 | Date Created | 08/14/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2018-42 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | L180371 | Authorized Date | 08/20/2018 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-05-15-38-1 AASHTO T228-09r13 (Verified)