Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2019-04-25-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210808
DEA: 020E0904
EFIS: 0200000016
DIST-CO-RTE-PM02-SHA-5-R29.3/R31.1,R45.0/R45.8
Award Date02/03/2016
Closeout Date10/21/2020
Work DescriptionREPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT
Location DescriptionIN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE.
QA Service Level1 (Verified on 09/23/2015)

Sample Information

Sample Taken Date04/25/2019 Sample Unique Key17
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 testing04/25/2019
Sample typeVerification A brief description of the samplePG 58-34 M (Valero - Benicia)
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byJosh Last name of sampler or witnessed byWilliams
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD77852 Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero-Benicia Asphalt Plant Transportation Laboratory (TL) Number001902
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 Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Asphalt Binder SupplierNot set MultigradeNot set
Multigrade TypeNot set JMF Verification ID JMF3513-2019-63

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-25-17-1AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)CEM-3512CT D02 - North Region Materials Lab04/25/2019Ward Jenkins
Yes
06/05/2019