Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-05-31-20

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212784
DEA: 023H1504
EFIS: 0217000064
DIST-CO-RTE-PM02-LAS-299-0.0/4.7
Award Date11/30/2017
Closeout Date01/08/2019
Work DescriptionAC OVERLAY, REPLACE ASPHALT CONCRETE SURFACING AND GUARDRAIL.
Location DescriptionLASSEN COUNTY NEAR MCARTHUR FROM SHASTA COUNTY LINE TO 4.0 MILES WEST OF MUCK VALLEY HYDRO ROAD.
QA Service Level1 (Verified on 05/03/2018)

Sample Information

Sample Taken Date05/31/2018 Sample Unique Key20
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 testing05/31/2018
Sample typeVerification A brief description of the sampleVirgin Asphalt Binder
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationD77434 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameValero - Benicia, CA Transportation Laboratory (TL) Number736683
Inspector Lot Number from the Transportation Laboratory (TL) FormJMF 18-03-M1 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-34 M
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 JMF3513-2018-47
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-31-20-1AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)CEM-3512CT D02 - North Region Materials Lab04/23/2018Ward Jenkins
Yes
01/04/2019