Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2019-04-25-18

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 Key18
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 sample3/4-inch Type A HMA (eq. PG 64-28 M)
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 identificationD77851 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNorthstate Asphalt Transportation Laboratory (TL) Number001901
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number0
Sublot number0 JMF Verification ID JMF3513-2019-63

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-25-18-2AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Darrell ValasekCT D02 - North Region Materials Lab04/25/2019Ward Jenkins
Yes
05/29/2019
2019-04-25-18-3AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)Darrell ValasekCT D02 - North Region Materials Lab04/26/2019Ward Jenkins
Yes
05/29/2019
2019-04-25-18-4AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)Darrell ValasekCT D02 - North Region Materials Lab04/29/2019Ward Jenkins
Yes
05/29/2019