Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2020-04-14-51

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214492
DEA: 033F5404
EFIS: 0313000136
DIST-CO-RTE-PM03-SAC-99,160-4.5/5.7,R44.5
Award Date01/24/2020
Closeout DateNot set
Work DescriptionFURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location DescriptionSACRAMENTO 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 Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date04/14/2020 Sample Unique Key51
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 testing04/15/2020
Sample typeVerification A brief description of the sample1/2 inch HMA - A (SP)
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byWalt Last name of sampler or witnessed byWylie (Witness)
Title of samplerTeichert Personnel Telephone number of sampler
Laboratory sample identificationJMF20-014 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Perkins Batch Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeReclaimed Asphalt Pavement RAP SourcePerkins
Aggregate Size Aggregate SourcePerkins
RAP StockpileContinuous Stockpile Size (tons)
JMF Verification ID JMF3513-2020-222

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-14-51-1AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Terrance WhiteCT D03 - North Region Materials Lab04/21/2020Kavon Rastegar
Yes
11/25/2020JMF20-014
2020-04-14-51-2AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Kavon RastegarCT D03 - North Region Materials Lab04/20/2020Kavon Rastegar
Yes
11/25/2020JMF20-014
2020-04-14-51-3AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)Terrance WhiteCT D03 - North Region Materials Lab04/21/2020Kavon Rastegar
Yes
11/25/2020JMF20-014