Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2021-03-30-31

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215296
DEA: 031F1504
EFIS: 0300001101
DIST-CO-RTE-PM03-SAC-50-R7.7/R9.5
Award Date02/05/2021
Closeout DateNot set
Work DescriptionPLACE HMA, RHMA, AGGREGATE BASE AND FIBER OPTIC SYSTEM.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR RANCHO CORDOVA FROM BRADSHAW ROAD OVERCROSSING TO MATHER FIELD OVERCROSSING
QA Service Level1 (Verified on 11/30/2020)

Sample Information

Sample Taken Date03/30/2021 Sample Unique Key31
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 testing03/30/2021
Sample typeVerification A brief description of the sample3/4" HMA - A
The quantity of what the sample constitutes12 boxes 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 identificationJMF21-019 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Perkins Batch Plant Transportation Laboratory (TL) NumberC790491
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 Grading3/4 inch Lot number
Sublot number JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-30-31-1AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Benjamin Dreher CT D03 - North Region Materials Lab05/13/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.
2021-03-30-31-2AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Terrance White CT D03 - North Region Materials Lab05/13/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.
2021-03-30-31-3AASHTO 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 Lab05/17/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.
2021-03-30-31-4AASHTO 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 Lab05/17/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.
2021-03-30-31-5AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)Kavon RastegarCT D03 - North Region Materials Lab05/18/2021Kavon Rastegar
Yes
06/17/2021JMF21-019. Jeff Herbert
2021-03-30-31-6AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)Jeff HerbertCT D03 - North Region Materials Lab05/19/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.