Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-06-21-28

Project Information

Project IdentifiersProject ID: 215251
DEA: 021J4604
EFIS: 0220000081
DIST-CO-RTE-PM02-SIS-96-34.5/38.8,88.0/92.0
Award Date02/02/2021
Closeout Date09/27/2021
Work DescriptionHMA OVERLAY, REPLACE AC SURFACING, SHOULDER BACKING & TRAFFIC STRIPE.
Location DescriptionSISKIYOU COUNTY NEAR HAPPY CAMP FROM 0.1 MILE EAST OF OAK FLAT CREEK BRIDGE TO 0.1 MILE EAST OF BENJAMIN CREEK ROAD AND FROM 0.3 MILE WEST OF BEAVER CREEK BRIDGE TO 1.0 MILE WEST OF LUMGREY CREEK BRIDGE
QA Service Level1 (Verified on 10/30/2020)

Sample Information

Sample Taken Date06/21/2021 Sample Unique Key28
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 testing06/21/2021
Sample typeAcceptance A brief description of the sample3/8 HMA Type A, 24 RAP pg 58-34m Valero Benicia
The quantity of what the sample constitutesPSE 16 Boxes at 410 Tons From where was the sample collectedJob Site
First name of sampler or witnessed byD. Last name of sampler or witnessed byOwens
Title of samplerPEI Telephone number of sampler
Laboratory sample identificationD78849 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTullis Inc - Northstate Asphalt - Redding, CA Transportation Laboratory (TL) Number853077
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
2021-06-21-28-1AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Colt SweenyCT D02 - North Region Materials Lab06/22/2021Darrell Valasek
No
Info
2021-06-21-28-2AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Karen DoradoCT D02 - North Region Materials Lab06/22/2021Darrell Valasek
No
Info
2021-06-21-28-3AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)Darrell ValasekCT D02 - North Region Materials Lab06/29/2021Darrell Valasek
No
Info
2021-06-21-28-4AASHTO 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 Lab06/22/2021Darrell Valasek
No
Info