Sample Record
Owner Lab
- CT D02 - North Region Materials Lab
DIME Sample ID 2018-05-15-43
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212845 DEA: 023H1304 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-395-47.0/56.5 |
| Award Date | 12/22/2017 |
| Closeout Date | 01/09/2019 |
| Work Description | AC OVERLAY, REPLACE AC SURFACE, RUMBLE STRIP, GUARDRAIL |
| Location Description | LASSEN COUNTY AT AND NEAR JANESVILLE FROM 1.9 MILES SOUTH OF LAKECREST DRIVE TO 0.2 MILE NORTH OF SUNNYSIDE ROAD |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 05/15/2018 | Sample Unique Key | 43 |
|---|---|---|---|
| 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 | 05/01/2018 |
| Sample type | Verification | A brief description of the sample | PG 64-28 M |
| The quantity of what the sample constitutes | Cert of Comp | From where was the sample collected | Source |
| First name of sampler or witnessed by | Paramount Nevada | Last name of sampler or witnessed by | Paramount Nevada |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77394 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Paramount-Nevada Asphalt Company, Fernley, NV | Transportation Laboratory (TL) Number | 894811 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF 18-07-S1 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-28 M |
|---|---|---|---|
| Modified | Not set | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Asphalt Binder Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | JMF Verification ID | JMF3513-2018-30 |
| HMA Pay | No |