Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2020-08-10-48
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214618 DEA: 033F99U4 EFIS: 0319000311 |
|---|---|
| DIST-CO-RTE-PM | 03-SUT-99-39.2/41.4 |
| Award Date | 05/15/2020 |
| Closeout Date | 12/13/2023 |
| Work Description | WIDEN RDWY, HMA, CRCP, WATER LINE, SIGNALS, & LIGHTING SYSTEM. |
| Location Description | SUTTER COUNTY IN AND NEAR LIVE OAK FROM 0.1 MILE SOUTH OF COLEMAN AVENUE TO NEVADA STREET (NORTH INTERSECTION) |
| QA Service Level | 1 (Verified on 03/24/2020) |
Sample Information
| Sample Taken Date | 08/10/2020 | Sample Unique Key | 48 |
|---|---|---|---|
| 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 testing | 08/11/2021 |
| Sample type | Verification | A brief description of the sample | Warm Mix Asphalt Technology - Evotherm M1 |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Other |
| First name of sampler or witnessed by | Brad | Last name of sampler or witnessed by | Mckeehan (WITNESS) |
| Title of sampler | DGS Personnel | Telephone number of sampler | |
| Laboratory sample identification | JMF20-030B | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | DSG Aggregates - Marysville | Transportation Laboratory (TL) Number | C 779832 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Warm Mix Asphalt Technology | Warm Mix Asphalt Technology Type | Additive Technology |
|---|---|---|---|
| Warm Mix Asphalt Technology Product Name | Evotherm M1 | WMA Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-27 | Date Created | 02/23/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-39 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | MD 6617 | Authorized Date | N/A |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||