Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-04-14-39
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214492 DEA: 033F5404 EFIS: 0313000136 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-99,160-4.5/5.7,R44.5 |
| Award Date | 01/24/2020 |
| Closeout Date | 07/28/2022 |
| Work Description | FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE. |
| Location Description | SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE |
| QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
| Sample Taken Date | 04/14/2020 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 04/24/2020 |
| Sample type | Verification | A brief description of the sample | RAP |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Walt | Last name of sampler or witnessed by | Wiley |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D03 Sample | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Perkins Plant | Transportation Laboratory (TL) Number | 0034589 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Reclaimed Asphalt Pavement | RAP Source | Perkins |
|---|---|---|---|
| Aggregate Size | Aggregate Source | ||
| RAP Stockpile | Stockpile Size (tons) | ||
| Reclaimed Asphalt Pavement Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-174 | Date Created | 08/04/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2020-254 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | PN202004-SP | Rejected Date | 08/04/2020 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||