Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2021-03-05-21

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 DateNot set
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 Date03/05/2021 Sample Unique Key21
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 testing03/08/2021
Sample typeVerification A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed bySam Mossallem (Witness) Last name of sampler or witnessed byTeichert Personnel (SAMPLER)
Title of samplerTeichert Personnel Telephone number of samplerUnknown
Laboratory sample identificationJMF21-009 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Perkins - Continuous Plant Dreyer Drum Transportation Laboratory (TL) NumberC 849135
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeRHMA-G
HMA Grading3/4 inch Lot number
Sublot number JMF Verification ID JMF3513-2021-45

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-05-21-1AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Terrance WhiteCT D03 - North Region Materials Lab03/29/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-21-2AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)Benjamin DreherCT D03 - North Region Materials Lab03/30/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-21-3AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Benjamin DreherCT D03 - North Region Materials Lab03/29/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-21-4AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void) Jeff HerbertCT D03 - North Region Materials Lab03/22/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-21-5AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)Jeff HerbertCT D03 - North Region Materials Lab04/01/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-21-6AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)Jeff HerbertCT D03 - North Region Materials Lab04/02/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-21-7AASHTO T312-14: Preparing and Determining the Density of Asphalt Mixture Specimens by Means of the Superpave Gyratory Compactor (Method of Compaction)Terrance WhiteCT D03 - North Region Materials Lab03/30/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.