Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2021-03-17-40

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214492
DEA: 033F5404
EFIS: 0313000136
DIST-CO-RTE-PM03-SAC-99,160-4.5/5.7,R44.5
Award Date01/24/2020
Closeout Date07/28/2022
Work DescriptionFURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location DescriptionSACRAMENTO 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 Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date03/17/2021 Sample Unique Key40
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 testing03/17/2021
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 bySam Mosallem (WITNESS)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF21-014 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Perkins Batch Plant Transportation Laboratory (TL) NumberC 849137
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeReclaimed Asphalt Pavement RAP SourceTeichert Perkins, RAP Bin 1
Aggregate Size Aggregate Source
RAP StockpileStatic Stockpile Size (tons)Unknown
JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-17-40-1AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Teichert Personnel.CT D03 - North Region Materials Lab02/04/2021Kavon Rastegar
Yes
06/15/2021JMF21-014.
2021-03-17-40-2AASHTO 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 Lab03/19/2021Kavon Rastegar
Yes
06/15/2021JMF21-014.
2021-03-17-40-3AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)Benjamin Dreher CT D03 - North Region Materials Lab03/19/2021Kavon Rastegar
Yes
06/15/2021JMF21-014.