DIME - Sample Record for DIME Sample ID 2019-12-19-9

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Sample Record

Owner Lab

CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2019-12-19-9

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Project Information

Project Identifiers	Project ID: 209694 DEA: 080J0704 EFIS: 0800000282
DIST-CO-RTE-PM	08-SBD-215-0.6/1.7
Award Date	10/17/2017
Closeout Date	04/23/2020
Work Description	(Alternative Delivery) The CMGC project will reconstruct and improve interchange of I-215 and Barton Road in the City of Grand Terrace, CA.
Location Description	Grade separation at Intersection of I-215 and Barton Road near Grand Terrace, CA. ? On I-215 between I-10 and SR-60.
QA Service Level	1 (Verified on 12/11/2017)

Sample Information

Sample Taken Date	12/19/2019	Sample Unique Key	9
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	01/07/2020
Sample type	Quality Assurance	A brief description of the sample	3/4 HMA-SP R15
The quantity of what the sample constitutes	2 boxs, 9 cores	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Martin	Last name of sampler or witnessed by	Serna
Title of sampler		Telephone number of sampler
Laboratory sample identification	5A4, 5B4, 5C4, 5A5, 5B5,5C5,5A6, 5B6, 5C6	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Vulcan Corona	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Hot Mix Asphalt	HMA Type	Type A HMA
HMA Grading	3/4 inch	Lot number	Unknown
Sublot number	Unknown	HMA Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2019-12-19-9-1	AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)	MD SARDER, CT D08 - Fontana Field Testing Laboratory	12/26/2019	Seyed Mirgati	Yes	01/09/2020
2019-12-19-9-2	AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)	MD SARDER, CT D08 - Fontana Field Testing Laboratory	12/26/2019	Seyed Mirgati	Yes	01/09/2020
2019-12-19-9-3	AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)	MD SARDER, CT D08 - Fontana Field Testing Laboratory	12/26/2019	Seyed Mirgati	Yes	01/09/2020
2019-12-19-9-4	AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)	MD SARDER, CT D08 - Fontana Field Testing Laboratory	01/08/2020	Seyed Mirgati	Yes	01/09/2020

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-12-19-9-1 AASHTO T275-07r12 (Verified)
DIME Test ID: 2019-12-19-9-2 AASHTO T275-07r12 (Verified)
DIME Test ID: 2019-12-19-9-3 AASHTO T275-07r12 (Verified)
DIME Test ID: 2019-12-19-9-4 AASHTO T209-12 (Verified)