Sample Record

Owner Lab

  • CGI Technical Services, Inc.

DIME Sample ID 2019-04-01-27

Project Information

Project IdentifiersProject ID: 212753
DEA: 020H7604
EFIS: 0215000086
DIST-CO-RTE-PM02-LAS,PLU-VAR-VAR
Award Date03/28/2019
Closeout Date09/02/2020
Work DescriptionFULL DEPTH RECLAMATION AND DRAINAGE REHABILITATION
Location DescriptionLASSEN AND PLUMAS COUNTIES AT AND NEAR CHILCOOT FROM 0.9 MILE WEST OF SUMMIT SCHOOL DRIVE TO 0.7 MILE EAST OF ROUTE 395
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date04/01/2019 Sample Unique Key27
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Control A brief description of the sampleAsphalt Binder
The quantity of what the sample constitutesproduction From where was the sample collectedManufacturer
First name of sampler or witnessed byTed Last name of sampler or witnessed byKinsey
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero-Benicia Asphalt Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 58-34 M
ModifiedYes Lot numberNot set
Sublot numberNot set HMA Design ID JMF3512-2019-98-19-1278.106

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-01-27-1AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)ValeroCGI Technical Services, Inc.04/01/2019Vikram Kyatham
Yes
05/08/2019
2019-04-01-27-2AASHTO T315-12: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)Ted KinseyCGI Technical Services, Inc.04/01/2019Vikram Kyatham
Yes
05/08/2019

Test Card Drafts

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