Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2019-04-16-31
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 |
---|---|
DIST-CO-RTE-PM | 02-SHA-5-R3.8/R11.7 |
Award Date | 11/06/2018 |
Closeout Date | 08/16/2023 |
Work Description | WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB |
Location Description | SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
Sample Taken Date | 04/16/2019 | Sample Unique Key | 31 |
---|---|---|---|
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 | 04/16/2019 |
Sample type | Verification | A brief description of the sample | 1/2-inch Type A HMA (PG64-10) |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Jimmy and Derrick | Last name of sampler or witnessed by | Montana and Curry |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Fawndale Rock and Asphalt | Transportation Laboratory (TL) Number | 857582 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
---|---|---|---|
HMA Grading | 1/2 inch | Lot number | 0 |
Sublot number | 0 | HMA Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2019-58 | Date Created | 05/01/2019 |
---|---|---|---|
JMF Submittal ID | JMF3511-22-2019-84 | JMF Status | Submittal Rejected For Use |
Producer Mix ID | 19-1001.314 | Rejected Date | 05/06/2019 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2019-04-16-31-1 AASHTO T308-10 (Verified)
DIME Test ID: 2019-04-16-31-2 AASHTO T209-12 (Verified)
DIME Test ID: 2019-04-16-31-3 AASHTO T275-07r12 (Verified)
DIME Test ID: 2019-04-16-31-4 AASHTO T269-14 (Verified)