Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2021-04-01-34

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215062
DEA: 030F2904
EFIS: 0314000101
DIST-CO-RTE-PM03-BUT-99-14.9/15.7
Award Date09/24/2020
Closeout Date03/02/2022
Work DescriptionCONSTRUCT BRIDGE AND ROADWAY; & REMOVE BRIDGE.
Location DescriptionBUTTE COUNTY ABOUT 10 MILES NORTH OF GRIDLEY FROM 0.3 MILE SOUTH TO 0.5 MILE NORTH OF NELSON AVENUE
QA Service Level1 (Verified on 07/20/2020)

Sample Information

Sample Taken Date04/01/2021 Sample Unique Key34
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
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 sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample IDJMF21-020B
The fabricator/manufacturer/facility nameTeichert - Hallwood Plant Transportation Laboratory (TL) NumberC706327
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeReclaimed Asphalt Pavement RAP SourceTeichert Hallwood RAP Bin 1
Aggregate Size Aggregate Source
RAP StockpileStatic Stockpile Size (tons)Unknown
Reclaimed Asphalt Pavement Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-55 Date Created06/01/2021
JMF Submittal IDJMF3511-23-2021-68 JMF StatusSubmittal Authorized For Use
Producer Mix ID309-40432407-V Authorized Date09/10/2021

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-01-34-1AASHTO 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)Teichert Lab Personnel, CT D03 - Olivehurst Northern Regional Laboratory01/13/2021Kavon Rastegar
Yes
06/03/2021JMF21-020B. Teichert Lab Personnel
2021-04-01-34-2AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Mario Munoz , CT D03 - Olivehurst Northern Regional Laboratory04/28/2021Kavon Rastegar
Yes
06/03/2021JMF21-020B.
2021-04-01-34-3AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)Mario Munoz , CT D03 - Olivehurst Northern Regional Laboratory04/28/2021Kavon Rastegar
Yes
06/03/2021JMF21-020B.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-04-01-34-1 AASHTO T308-10 (Verified)
DIME Test ID: 2021-04-01-34-2 AASHTO T209-12 (Verified)
DIME Test ID: 2021-04-01-34-3 AASHTO T30-19 (Verified)