Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2020-08-10-48

Project Information

Project IdentifiersProject ID: 214618
DEA: 033F99U4
EFIS: 0319000311
DIST-CO-RTE-PM03-SUT-99-39.2/41.4
Award Date05/15/2020
Closeout DateNot set
Work DescriptionWIDEN RDWY, HMA, CRCP, WATER LINE, SIGNALS, & LIGHTING SYSTEM.
Location DescriptionSUTTER COUNTY IN AND NEAR LIVE OAK FROM 0.1 MILE SOUTH OF COLEMAN AVENUE TO NEVADA STREET (NORTH INTERSECTION)
QA Service Level1 (Verified on 03/24/2020)

Sample Information

Sample Taken Date08/10/2020 Sample Unique Key48
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 testing08/11/2021
Sample typeVerification A brief description of the sampleWarm Mix Asphalt Technology - Evotherm M1
The quantity of what the sample constitutesJMF Verification From where was the sample collectedOther
First name of sampler or witnessed byBrad Last name of sampler or witnessed byMckeehan (WITNESS)
Title of samplerDGS Personnel Telephone number of sampler
Laboratory sample identificationJMF20-030B Linked DIME Sample ID
The fabricator/manufacturer/facility nameDSG Aggregates - Marysville Transportation Laboratory (TL) NumberC 779832
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeWarm Mix Asphalt Technology Warm Mix Asphalt Technology TypeAdditive Technology
Warm Mix Asphalt Technology Product NameEvotherm M1 WMA Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-27 Date Created02/23/2021
JMF Submittal IDJMF3511-23-2021-39 JMF StatusSubmittal Accepted for Verification
Producer Mix IDMD 6617 Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments