Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2019-04-16-30

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout DateNot set
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date04/16/2019 Sample Unique Key30
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 testing04/16/2019
Sample typeVerification A brief description of the sampleNeat Binder
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byDerrick Last name of sampler or witnessed byCurry
Title of sampler Telephone number of sampler
Laboratory sample identificationBoL 4080 Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero-Benicia Asphalt Plant Transportation Laboratory (TL) Number857584
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-10
ModifiedNo 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 Asphalt Binder Mix NumberNot set

JMF Information

Verification IDJMF3513-2019-58 Date Created05/01/2019
JMF Submittal IDJMF3511-22-2019-84 JMF StatusSubmittal Rejected For Use
Producer Mix ID19-1001.314 Rejected Date05/06/2019

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-16-30-1AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)CEM-3512CT D02 - Redding Northern Regional Laboratory04/16/2019Ward Jenkins
Yes
05/01/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-04-16-30-1 AASHTO T228-09r13 (Verified)