Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

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 Date07/28/2022
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)
Reclaimed Asphalt Pavement Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-222 Date Created11/25/2020
JMF Submittal IDJMF3511-23-2020-310 JMF StatusSubmittal Accepted for Verification
Producer Mix IDPN202004-SP Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing 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 (Method A) (Asphalt Binder Content)Terrance White, CT D03 - Olivehurst Northern Regional Laboratory04/21/2020Kavon 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 Rastegar, CT D03 - Olivehurst Northern Regional Laboratory04/20/2020Kavon 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 White, CT D03 - Olivehurst Northern Regional Laboratory04/21/2020Kavon Rastegar
Yes
11/25/2020JMF20-014

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-04-14-51-1 AASHTO T308-10 (Verified)
DIME Test ID: 2020-04-14-51-2 AASHTO T209-12 (Verified)
DIME Test ID: 2020-04-14-51-3 AASHTO T30-19 (Verified)