DIME - Sample Record for DIME Sample ID 2021-03-15-15

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Sample Record

Owner Lab

CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2021-03-15-15

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Project Information

Project Identifiers	Project ID: 214492 DEA: 033F5404 EFIS: 0313000136
DIST-CO-RTE-PM	03-SAC-99,160-4.5/5.7,R44.5
Award Date	01/24/2020
Closeout Date	07/28/2022
Work Description	FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location Description	SACRAMENTO 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 Level	1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date	03/15/2021	Sample Unique Key	15
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 testing	03/15/2021
Sample type	Verification	A brief description of the sample	3/4" HMA - A
The quantity of what the sample constitutes	JMF Verification	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Sam Mossallem (WITNESS)	Last name of sampler or witnessed by	Teichert Personnel (SAMPLER)
Title of sampler		Telephone number of sampler
Laboratory sample identification	JMF21-012	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Teichert Perkins Batch Plant	Transportation Laboratory (TL) Number	C849136
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Hot Mix Asphalt	HMA Type	Type A HMA
HMA Grading	3/4 inch	Lot number
Sublot number		HMA Mix Number	Not set

JMF Information

Verification ID	JMF3513-2021-47	Date Created	04/26/2021
JMF Submittal ID	JMF3511-23-2021-59	JMF Status	Submittal Authorized For Use
Producer Mix ID	PN202102-SP	Authorized Date	09/10/2021

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2021-03-15-15-1	AASHTO 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 Laboratory	04/13/2021	Kavon Rastegar	Yes	04/29/2021	JMF21-012.
2021-03-15-15-2	AASHTO 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 Laboratory	04/13/2021	Kavon Rastegar	Yes	04/29/2021	JMF21-012.
2021-03-15-15-3	AASHTO 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 Laboratory	04/14/2021	Kavon Rastegar	Yes	04/29/2021	JMF21-012.
2021-03-15-15-4	AASHTO 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 Laboratory	04/14/2021	Kavon Rastegar	Yes	04/29/2021	JMF21-012.
2021-03-15-15-5	AASHTO 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 Laboratory	04/15/2021	Kavon Rastegar	Yes	04/30/2021	JMF21-012.
2021-03-15-15-6	THIS 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 Laboratory	04/15/2021	Kavon Rastegar	Yes	04/30/2021	THIS TEST HAS BEEN SUPERSEDED. JMF21-012.
2021-03-15-15-7	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 Laboratory	04/15/2021	Kavon Rastegar	Yes	06/29/2021	JMF21-012.

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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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)