Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-05-24-45
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215424 DEA: 024G4404 EFIS: 0214000013 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-3-38.0/38.6 |
| Award Date | 04/05/2021 |
| Closeout Date | Not set |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | SISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD |
| QA Service Level | 1 (Verified on 01/19/2021) |
Sample Information
| Sample Taken Date | 05/24/2021 | Sample Unique Key | 45 |
|---|---|---|---|
| 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 | 06/23/2021 |
| Sample type | Acceptance | A brief description of the sample | PG58-22 |
| The quantity of what the sample constitutes | 1 can | From where was the sample collected | Source |
| First name of sampler or witnessed by | D | Last name of sampler or witnessed by | Owens |
| Title of sampler | PEI Tech | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero Benicia | Transportation Laboratory (TL) Number | Not Provided |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Asphalt Binder Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-64 | Date Created | 08/02/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2021-81 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | L210556 | Authorized Date | 08/13/2021 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-05-24-45-1 AASHTO T240-17 (Verified)
DIME Test ID: 2021-05-24-45-2 AASHTO T315-20 (Verified)
DIME Test ID: 2021-05-24-45-3 AASHTO T315-20 (Verified)
DIME Test ID: 2021-05-24-45-4 AASHTO T315-20 (Verified)
DIME Test ID: 2021-05-24-45-5 AASHTO T313-19 (Verified)
DIME Test ID: 2021-05-24-45-6 AASHTO T315-16 (Verified)