Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-06-10-32

Project Information

Project IdentifiersProject ID: 214190
DEA: 024G41U4
EFIS: 0218000047
DIST-CO-RTE-PM02-SIS,SIS-5-Var
Award Date08/26/2019
Closeout DateNot set
Work DescriptionREPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL.
Location DescriptionSHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING
QA Service Level1 (Verified on 07/09/2019)

Sample Information

Sample Taken Date06/10/2021 Sample Unique Key32
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 testing06/10/2021
Sample typeAcceptance A brief description of the sample3/4 inch Type A HMA 23.6 RAP PG 58-34M Valero Benicia
The quantity of what the sample constitutesPSE 16 Boxes at 150 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byDerrick Last name of sampler or witnessed byCurry
Title of samplerCGI Telephone number of sampler
Laboratory sample identificationD78838 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJ F Shea Construction - Fawndale Rock and Asphalt - Redding CA Transportation Laboratory (TL) Number779374
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier
Structure nameUnknown

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-10-32-1AASHTO 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 Lab06/11/2021Darrell Valasek
No
Info
2021-06-10-32-2AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Darrell ValasekCT D02 - North Region Materials Lab06/10/2021Darrell Valasek
No
Info
2021-06-10-32-3AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)Colt SweenyCT D02 - North Region Materials Lab06/14/2021Darrell Valasek
No
Info
2021-06-10-32-4AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)Terry McCormickCT D02 - North Region Materials Lab06/18/2021Darrell Valasek
No
Info