Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2020-07-23-51
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 | 07/23/2020 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 07/24/2020 |
| Sample type | Verification | A brief description of the sample | PG-58-22, Valero |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | M. | Last name of sampler or witnessed by | Chittenden (WITNESS) |
| Title of sampler | DSG Personnel | Telephone number of sampler | |
| Laboratory sample identification | JMF20-032 | Linked DIME Sample ID | 2020-07-23-49 |
| The fabricator/manufacturer/facility name | DeSilva Gates Aggregates-Marysville | Transportation Laboratory (TL) Number | C723296 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | Not set | |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-28 | Date Created | 03/01/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-40 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | MD 6730 | 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. | |||