Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

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
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

JMF Information

Verification IDJMF3513-2019-64 Date Created05/29/2019
JMF Submittal IDJMF3511-22-2019-94 JMF StatusSubmittal Rejected For Use
Producer Mix ID19-1278.105A Rejected Date06/05/2019

Submitted Tests

DIME Test IDTest MethodTester Name, Testing 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)Albina, CT D02 - Redding Northern Regional Laboratory03/25/2019Ward Jenkins
Yes
05/30/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-04-29-18-1 AASHTO T228-09r13 (Verified)