Sample Record

Owner Lab

  • CT D03 - Field Laboratory

DIME Sample ID 2021-04-01-26

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212914
DEA: 031E0604
EFIS: 0312000068
DIST-CO-RTE-PM03-YUB-70-15.5/16.5
Award Date07/31/2019
Closeout DateNot set
Work DescriptionSIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location DescriptionNEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
QA Service Level1 (Verified on 08/22/2019)

Sample Information

Sample Taken Date04/01/2021 Sample Unique Key26
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 testing04/01/2021
Sample typeVerification A brief description of the sampleRAP minus 1/2"
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byTeichert Personnel (SAMPLER) Last name of sampler or witnessed by Brad McKeehan (WITNESS)
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationJMF21-020A Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert-Hallwood Drum Plant Transportation Laboratory (TL) NumberC706328
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameNot Applicable

Material Information

Material TypeReclaimed Asphalt Pavement RAP SourceTeichert Hallwood, RAP Bin 1
Aggregate Size Aggregate Source
RAP StockpileStatic Stockpile Size (tons)Unknown
JMF Verification ID JMF3513-2021-49

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-01-26-1AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Mario MunozCT D03 - Field Laboratory01/13/2021Kavon Rastegar
Yes
05/05/2021JMF21-020A.
2021-04-01-26-2AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity) Mario MunozCT D03 - Field Laboratory04/06/2021Kavon Rastegar
Yes
05/05/2021JMF21-020A.
2021-04-01-26-3AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)Mario MunozCT D03 - Field Laboratory04/07/2021Kavon Rastegar
Yes
05/05/2021JMF21-020A.