Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-04-28-39
Sample is locked from editing. info
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 | 39 |
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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 | 05/10/2021 |
Sample type | Verification | A brief description of the sample | 3/4"RHMA-G |
The quantity of what the sample constitutes | 32 boxes of mix | From where was the sample collected | Supplier |
First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | McHugh |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Teichert-Hallwood Drum Plant | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | RHMA-G |
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HMA Grading | 3/4 inch | Lot number | |
Sublot number | HMA Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2021-72 | Date Created | 08/20/2021 |
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JMF Submittal ID | JMF3511-23-2021-90 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | 309-40532500-P | Authorized Date | 09/15/2021 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-04-28-39-1 AASHTO T324-14 (Verified)
DIME Test ID: 2021-04-28-39-2 AASHTO T308-10 (Verified)
DIME Test ID: 2021-04-28-39-3 AASHTO T283-14 (Verified)
DIME Test ID: 2021-04-28-39-4 AASHTO T275-07r12 (Verified)
DIME Test ID: 2021-04-28-39-5 AASHTO T269-14 (Verified)
DIME Test ID: 2021-04-28-39-6 AASHTO T209-12 (Verified)