Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2020-04-27-19

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 Date04/27/2020 Sample Unique Key19
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 testing04/28/2020
Sample typeVerification A brief description of the sample3/4 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 sampler Telephone number of sampler
Laboratory sample identificationJMF20-009B Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Perkins 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 1111
Aggregate Size Aggregate SourcePerkins 1111
RAP StockpileContinuous Stockpile Size (tons)
Reclaimed Asphalt Pavement Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2020-313-PN203003-SP Date Created12/03/2020
SubmittalJMF3511-23-2020-314 Submittal Accepted for Verification| JMF3513-2021-57

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-27-19-1AASHTO 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)Contractor Personnel, CT D03 - Olivehurst Northern Regional Laboratory01/09/2020Kavon Rastegar
Yes
12/08/2020JMF20-009B
2020-04-27-19-2AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory05/06/2020Kavon Rastegar
Yes
12/08/2020JMF20-009B. Test date estimated

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-04-27-19-1 AASHTO T308-10 (Verified)
DIME Test ID: 2020-04-27-19-2 AASHTO T30-19 (Verified)