Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-06-07-19

Project Information

Project IdentifiersProject ID: 215245
DEA: 021J4504
EFIS: 0220000080
DIST-CO-RTE-PM02-SIS-89-14.0/19.0
Award Date12/08/2020
Closeout Date09/27/2021
Work DescriptionPLACE HMA (TYPE A).
Location DescriptionSISKIYOU COUNTY ABOUT 6 MILES NORTH OF BARTLE FROM 0.4 MILE NORTH OF EDISON CREEK ACCESS ROAD TO 2.0 MILES SOUTH OF MUD CREEK BRIDGE
QA Service Level1 (Verified on 10/23/2020)

Sample Information

Sample Taken Date06/07/2021 Sample Unique Key19
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 testing06/08/2021
Sample typeAcceptance A brief description of the sample3/8 Type A HMA 25 RAP PG 58 34m Valero Benecia
The quantity of what the sample constitutes288 Tons From where was the sample collectedJob Site
First name of sampler or witnessed byJohn Last name of sampler or witnessed byCarmichael
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD78833 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJF Shea Construction, Fawndale Rock and Asphalt, Redding, CA Transportation Laboratory (TL) Number779369
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/8 inch Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-07-19-1AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Terry McCormickCT D02 - North Region Materials Lab06/08/2021Darrell Valasek
No
Info