Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2021-04-05-29

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214764
DEA: 032H6404
EFIS: 0317000167
DIST-CO-RTE-PM03-SAC-12,160-0.4/0.9,L10.5/R0.2
Award Date05/20/2020
Closeout DateNot set
Work DescriptionMODIFY SIGNAL AND LIGHTING SYSTEM, PLACE RHMA AND ROADWAY EXCAVATION.
Location DescriptionSACRAMENTO COUNTY NEAR RIO VISTA ON ROUTE 12 FROM 0.6 MILE EAST OF SACRAMENTO RIVER BRIDGE TO 5.2 MILES WEST OF MOKELUMNE RIVER BRIDGE AND ON ROUTE 160 FROM 3.6 MILES NORTH OF THREE MILE SLOUGH BRIDGE TO 2.7 MILES SOUTH OF CIRCLE DRIVE
QA Service Level1 (Verified on 03/24/2020)

Sample Information

Sample Taken Date04/05/2021 Sample Unique Key29
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 testing04/06/2021
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 byGeorge Reed Personnel (SAMPLER) Last name of sampler or witnessed by Moses Onejeme (WITNESS)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF21-011 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGeorge Reed Inc- Clements Batch Plant Transportation Laboratory (TL) NumberC123456
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 JMF3513-2021-50

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-05-29-1THIS TEST HAS BEEN SUPERSEDED.
AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)
Kavon RastegarCT D03 - North Region Materials Lab04/27/2021Kavon Rastegar
Yes
05/11/2021THIS TEST HAS BEEN SUPERSEDED.
JMF21-011. Benjamin Dreher
2021-04-05-29-3AASHTO 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 - North Region Materials Lab04/28/2021Kavon Rastegar
Yes
05/11/2021JMF21-011.
2021-04-05-29-4THIS TEST HAS BEEN SUPERSEDED.
AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Kavon RastegarCT D03 - North Region Materials Lab04/28/2021Kavon Rastegar
Yes
05/12/2021THIS TEST HAS BEEN SUPERSEDED.
JMF21-011. Jeff Herbert
2021-04-05-29-5AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)Jeff HerbertCT D03 - North Region Materials Lab04/29/2021Kavon Rastegar
Yes
05/12/2021JMF21-011.
2021-04-05-29-6AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)Jeff HerbertCT D03 - North Region Materials Lab04/29/2021Kavon Rastegar
Yes
05/12/2021JMF21-011.
2021-04-05-29-7AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity) Benjamin Dreher.CT D03 - North Region Materials Lab04/27/2021Kavon Rastegar
Yes
05/11/2021JMF21-011.
2021-04-05-29-8AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Benjamin Dreher CT D03 - North Region Materials Lab04/27/2021Kavon Rastegar
Yes
05/12/2021JMF21-011.
2021-04-05-29-9AASHTO 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 Lab04/28/2021Kavon Rastegar
Yes
05/12/2021JMF21-011.