Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2021-03-15-15

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 Date07/28/2022
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 Date03/15/2021 Sample Unique Key15
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 testing03/15/2021
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 bySam Mossallem (WITNESS) Last name of sampler or witnessed byTeichert Personnel (SAMPLER)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF21-012 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Perkins Batch Plant Transportation Laboratory (TL) NumberC849136
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 HMA Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-47 Date Created04/26/2021
JMF Submittal IDJMF3511-23-2021-59 JMF StatusSubmittal Authorized For Use
Producer Mix IDPN202102-SP Authorized Date09/10/2021

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-15-15-1AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)Benjamin Dreher , CT D03 - Olivehurst Northern Regional Laboratory04/13/2021Kavon Rastegar
Yes
04/29/2021JMF21-012.
2021-03-15-15-2AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Benjamin Dreher , CT D03 - Olivehurst Northern Regional Laboratory04/13/2021Kavon Rastegar
Yes
04/29/2021JMF21-012.
2021-03-15-15-3AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)Benjamin Dreher , CT D03 - Olivehurst Northern Regional Laboratory04/14/2021Kavon Rastegar
Yes
04/29/2021JMF21-012.
2021-03-15-15-4AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void) Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory04/14/2021Kavon Rastegar
Yes
04/29/2021JMF21-012.
2021-03-15-15-5AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory04/15/2021Kavon Rastegar
Yes
04/30/2021JMF21-012.
2021-03-15-15-6THIS TEST HAS BEEN SUPERSEDED.
AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)
Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory04/15/2021Kavon Rastegar
Yes
04/30/2021THIS TEST HAS BEEN SUPERSEDED.
JMF21-012.
2021-03-15-15-7AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory04/15/2021Kavon Rastegar
Yes
06/29/2021JMF21-012.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-03-15-15-1 AASHTO T308-10 (Verified)
DIME Test ID: 2021-03-15-15-2 AASHTO T209-12 (Verified)
DIME Test ID: 2021-03-15-15-3 AASHTO T275-07r12 (Verified)
DIME Test ID: 2021-03-15-15-4 AASHTO T269-14 (Verified)
DIME Test ID: 2021-03-15-15-5 AASHTO T283-14 (Verified)
DIME Test ID: 2021-03-15-15-6 AASHTO T324-14 (Verified)
DIME Test ID: 2021-03-15-15-7 AASHTO T324-14 (Verified)