Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-09-11-14
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Project Information
| Project Identifiers | Project ID: 213134 DEA: 024F77U4 EFIS: 0217000022 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD-299-23.1/23.6, 24.5/33.5 |
| Award Date | 05/08/2018 |
| Closeout Date | 09/02/2020 |
| Work Description | BRIDGE REPLACE, ROADWAY REHAB/FULL DEPTH RECLAMATION-CEMENT + HMA |
| Location Description | MODOC COUNTY ABOUT 6 MILES WEST OF ALTURAS FROM 0.3 MILE WEST TO 0.3 MILE EAST OF CALDWELL CREEK BRIDGE AND 1.1 MILES EAST OF CALDWELL CREEK BRIDGE TO 1.7 MILES WEST OF COUNTY ROAD 75 |
| QA Service Level | 1 (Verified on 04/02/2018) |
Sample Information
| Sample Taken Date | 09/11/2018 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 09/12/2018 |
| Sample type | Verification | A brief description of the sample | Modified Binder with 0.1% ZycoTherm |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | x | Last name of sampler or witnessed by | x |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77631 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Albina - Klamath Falls, OR | Transportation Laboratory (TL) Number | 002271 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF 18-18-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 |
| 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 | JMF3513-2018-35 | Date Created | 09/20/2018 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2018-48 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | 18-1278.96-LAS | Rejected Date | 09/21/2018 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-09-11-14-1 AASHTO T228-09r13 (Verified)