Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2018-06-04-36
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Project Information
| Project Identifiers | Project ID: 212741 DEA: 020E1804 EFIS: 0200000022 |
|---|---|
| DIST-CO-RTE-PM | 02-PLU-89-29.8/30.2 |
| Award Date | 12/13/2017 |
| Closeout Date | 12/17/2021 |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | PLUMAS COUNTY NEAR CANYON DAM FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF LAKE ALMANOR SPILLWAY |
| QA Service Level | 1 (Verified on 12/06/2017) |
Sample Information
| Sample Taken Date | 06/04/2018 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 06/05/2018 |
| Sample type | Verification | A brief description of the sample | Asphalt Binder |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Derrick | Last name of sampler or witnessed by | Curry |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D77438 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Albina Asphalt - Klamath FAlls, OR | Transportation Laboratory (TL) Number | 894777 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF 18-04-S3 | 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 |
JMF Information
| Verification ID | JMF3513-2019-48 | Date Created | 01/18/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2019-65 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 18-1932.49 | Authorized Date | 01/24/2019 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-06-04-36-1 AASHTO T228-09r13 (Verified)