Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-06-17-51
Project Information
Project Identifiers | Project ID: 215627 DEA: 032G2004 EFIS: 0321000024 |
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DIST-CO-RTE-PM | 03-YOL-128-0.0/9.8 |
Award Date | 05/11/2021 |
Closeout Date | 01/20/2022 |
Work Description | PLACE RHMA AND REPLACE ASPHALT CONCRETE. |
Location Description | YOLO COUNTY IN AND NEAR WINTERS FROM PUTAH CREEK BRIDGE TO ROUTE 128/505 SEPARATION |
QA Service Level | 1 (Verified on 03/29/2021) |
Sample Information
Sample Taken Date | 06/17/2021 | Sample Unique Key | 51 |
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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 | 07/21/2021 |
Sample type | Verification | A brief description of the sample | PG64-16 Asphalt Rubber Binder |
The quantity of what the sample constitutes | 3 cans | From where was the sample collected | Source |
First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Mosallem |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Marathon western base | 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 | |
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Performance Grade | PG 64-16 | Lot number | |
Sublot number | Asphalt Rubber Binder Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2021-67 | Date Created | 08/09/2021 |
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JMF Submittal ID | JMF3511-23-2021-85 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | 306-40532500-M | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |