Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2019-05-13-17

Project Information

Project IdentifiersProject ID: 214175
DEA: 030H4804
EFIS: 0315000198
DIST-CO-RTE-PM03-SAC-99-0.1/1.6,11.8/21.6
Award Date08/20/2019
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
QA Service Level1 (Verified on 05/29/2019)

Sample Information

Sample Taken Date05/13/2019 Sample Unique Key17
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing05/14/2020
Sample typeVerification A brief description of the sample3/4" HMA - A
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byJ. Last name of sampler or witnessed byKort (WITNESS)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF20-013 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGeorge Reed - Clements Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number JMF Verification ID JMF3513-2021-5

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-05-13-17-1AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Kavon RastegarCT D03 - North Region Materials Lab05/20/2019Kavon Rastegar
Yes
01/21/2021JMF20-013. Test date is an estimate based on a completed CEM-3513 form from D-10.
2019-05-13-17-2AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)D-10 Lab PersonnelCT D03 - North Region Materials Lab05/21/2019Kavon Rastegar
Yes
01/21/2021Test date is an estimate based on a completed CEM-3513 form from D-10.
2019-05-13-17-3AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)D-10 Lab PersonnelCT D03 - North Region Materials Lab05/20/2019Kavon Rastegar
Yes
01/21/2021Test date is an estimate based on a completed CEM-3513 form from D-10.
2019-05-13-17-4AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)D-10 Lab PersonnelCT D03 - North Region Materials Lab05/22/2019Kavon Rastegar
Yes
01/21/2021Test date is an estimate based on a completed CEM-3513 form from D-10.
2019-05-13-17-5AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)D-10 Lab PersonnelCT D03 - North Region Materials Lab05/23/2019Kavon Rastegar
Yes
01/21/2021 Test date is an estimate based on a completed CEM-3513 form from D-10.
2019-05-13-17-7AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)D-10 Lab PersonnelCT D03 - North Region Materials Lab05/24/2019Kavon Rastegar
Yes
01/21/2021Data submitted for administrative purposes; lab tests were performed by D-10 Lab personnel. Test date is an estimated guess, based on a completed CEM-3513 form from D-10.