DIME - Sample Record for DIME Sample ID 2021-04-13-35

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Sample Record

Owner Lab

CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2021-04-13-35

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Project Information

Project Identifiers	Project ID: 212496 DEA: 024E4504 EFIS: 0200020286
DIST-CO-RTE-PM	02-LAS,MOD-139,299-VAR
Award Date	07/28/2020
Closeout Date	08/14/2023
Work Description	PLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS.
Location Description	LASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87
QA Service Level	1 (Verified on 06/06/2017)

Sample Information

Sample Taken Date	04/13/2021	Sample Unique Key	35
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	04/14/2021
Sample type	Verification	A brief description of the sample	3/4-inch Type A HMA (eq. PG 64-28 M)
The quantity of what the sample constitutes	JMF Verification	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Cindy	Last name of sampler or witnessed by	Bryant
Title of sampler		Telephone number of sampler
Laboratory sample identification	D78775	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Hat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA	Transportation Laboratory (TL) Number	037261
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	JMF3513-2021-57	Date Created	06/08/2021
JMF Submittal ID	JMF3511-22-2021-70	JMF Status	Submittal Accepted for Verification
Producer Mix ID	20-1278.123	Authorized Date	N/A

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2021-04-13-35-2	AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)	Colt Sweeny, CT D02 - Redding Northern Regional Laboratory	04/14/2021	Ward Jenkins	Yes	06/10/2021
2021-04-13-35-3	AASHTO T312-14: Preparing and Determining the Density of Asphalt Mixture Specimens by Means of the Superpave Gyratory Compactor (Method of Compaction)	Dennis Hickey, CT D02 - Redding Northern Regional Laboratory	04/14/2021	Ward Jenkins	Yes	06/10/2021	Estimated binder content.
2021-04-13-35-4	AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)	Darrell Valasek, CT D02 - Redding Northern Regional Laboratory	04/15/2021	Ward Jenkins	Yes	06/10/2021
2021-04-13-35-5	AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)	Darrell Valasek, CT D02 - Redding Northern Regional Laboratory	04/14/2021	Ward Jenkins	Yes	06/10/2021

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-04-13-35-2 AASHTO T209-12 (Verified)
DIME Test ID: 2021-04-13-35-3 AASHTO T312-14 (Verified)
DIME Test ID: 2021-04-13-35-4 AASHTO T275-07r12 (Verified)
DIME Test ID: 2021-04-13-35-5 AASHTO T269-14 (Verified)