Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-04-28-32
Project Information
Project Identifiers | Project ID: 212914 DEA: 031E0604 EFIS: 0312000068 |
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DIST-CO-RTE-PM | 03-YUB-70-15.5/16.5 |
Award Date | 07/31/2019 |
Closeout Date | 08/30/2023 |
Work Description | SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055. |
Location Description | NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019. |
QA Service Level | 1 (Verified on 08/22/2019) |
Sample Information
Sample Taken Date | 04/28/2021 | Sample Unique Key | 32 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 04/28/2021 |
Sample type | Verification | A brief description of the sample | Asphalt Modifier - Hydrolyne H110T |
The quantity of what the sample constitutes | Asphalt Modifier 2% by weight of Asphalt Binder | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Teichert Personnel (SAMPLER) | Last name of sampler or witnessed by | Ken McHugh (WITNESS) |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | JMF21-024 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Teichert-Hallwood Plant | Transportation Laboratory (TL) Number | C741863 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Modifier | Asphalt Modifier Type | Hydrolyne H110T |
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Asphalt Modifier Mix Number | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |