Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2019-04-18-15
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213336 DEA: 023E7404 EFIS: 0200020160 |
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DIST-CO-RTE-PM | 02-SHA-299-R7.6/18.3 |
Award Date | 08/24/2018 |
Closeout Date | 09/02/2020 |
Work Description | PAVEMENT PRESERVATION |
Location Description | SHASTA COUNTY AT AND NEAR SHASTA FROM 0.5 MILE WEST OF CRYSTAL CREEK ROAD TO TRINITY ALLEY |
QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
Sample Taken Date | 04/18/2019 | Sample Unique Key | 15 |
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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 | 04/18/2019 |
Sample type | Verification | A brief description of the sample | PG 64-10 |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Dorell | Last name of sampler or witnessed by | Harper |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | D77836 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Valero - Benicia, CA | Transportation Laboratory (TL) Number | 728565 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-10 |
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Modified | No | 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 | JMF3513-2019-61 | Date Created | 05/14/2019 |
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JMF Submittal ID | JMF3511-22-2019-90 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | L190300 | Authorized Date | 05/20/2019 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-04-18-15-1 AASHTO T228-09r13 (Verified)