Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-06-30-37
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215572 DEA: 032G1104 EFIS: 0320000230 |
|---|---|
| DIST-CO-RTE-PM | 03-GLE-162-66.6/76.3 |
| Award Date | 05/06/2021 |
| Closeout Date | 06/27/2022 |
| Work Description | PLACE RHMA AND COLD IN-PLACE RECYCLE. |
| Location Description | GLENN COUNTY IN AND NEAR WILLOWS FROM 0.2 MILE EAST OF N SHASTA STREET TO 1.0 MILE EAST OF ROAD X |
| QA Service Level | 1 (Verified on 03/22/2021) |
Sample Information
| Sample Taken Date | 06/30/2021 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 07/26/2021 |
| Sample type | Verification | A brief description of the sample | 1/2" RHMA-G |
| The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | Brad | Last name of sampler or witnessed by | McKeehan |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Knife River Construction - Orland Drum Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | |
| Sublot number | Asphalt Rubber Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-66 | Date Created | 08/05/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-84 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | O-22451004 | Authorized Date | 09/10/2021 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||