Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2019-04-29-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213720
DEA: 024H2004
EFIS: 0218000094
DIST-CO-RTE-PM02-SHA-89-26.3/29.2
Award Date12/19/2018
Closeout Date08/06/2019
Work DescriptionPAVEMENT OVERLAY
Location DescriptionSHASTA COUNTY ABOUT 10 MILES NORTH OF BURNEY FROM 0.3 MILE NORTH OF CLARK CREEK ROAD TO LAKE BRITTON BRIDGE
QA Service Level1 (Verified on 01/04/2019)

Sample Information

Sample Taken Date04/29/2019 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 testing04/29/2019
Sample typeVerification A brief description of the samplePG 58-22 (Albina – Klamath Falls)
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of sampler Telephone number of sampler
Laboratory sample identificationD77856 Linked DIME Sample ID
The fabricator/manufacturer/facility nameShaw Pit Facility Transportation Laboratory (TL) Number827790
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedNo 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 JMF3513-2019-64, JMF3513-2019-74

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-29-18-1AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)AlbinaCT D02 - North Region Materials Lab03/25/2019Ward Jenkins
Yes
05/30/2019