Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-05-15-38

Sample is locked from editing. info

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 Date05/15/2018 Sample Unique Key38
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 sampleAsphalt Rubber Binder, PG 64-16 CR
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byCheryl Last name of sampler or witnessed byAbraham
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identificationD77386 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTullis, Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) Number894975
Inspector Lot Number from the Transportation Laboratory (TL) Form18-09-S1 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16 CR
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 JMF3513-2018-27
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-15-38-1AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)CT 367CT D02 - North Region Materials Lab05/15/2018Ward Jenkins
Yes
08/14/2018