Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-08-28-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215483
DEA: 022J0004
EFIS: 0221000017
DIST-CO-RTE-PM02-PLU-49-0.0/7.5
Award Date04/05/2021
Closeout Date11/24/2021
Work DescriptionPLACE HOT MIX ASPHALT (TYPE A).
Location DescriptionPLUMAS COUNTY AT AND NEAR VINTON FROM SIERRA COUNTY LINE TO ROUTE 70
QA Service Level1 (Verified on 03/08/2021)

Sample Information

Sample Taken Date08/28/2021 Sample Unique Key2
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 testing09/08/2021
Sample typeAcceptance A brief description of the sample3/8 inch HMA A 15 RAP PG64-28M Valero
The quantity of what the sample constitutes4 boxes for voids From where was the sample collectedManufacturer
First name of sampler or witnessed byJoe Last name of sampler or witnessed byDelgado
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD78939 Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern NV Materials, Spanish Springs Transportation Laboratory (TL) Number897856
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
2021-08-28-2-1AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Terry McCormickCT D02 - North Region Materials Lab09/09/2021Darrell Valasek
Yes
09/13/2021
2021-08-28-2-2AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)Terry McCormickCT D02 - North Region Materials Lab09/09/2021Darrell Valasek
Yes
09/13/2021
2021-08-28-2-3AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)Terry McCormickCT D02 - North Region Materials Lab09/09/2021Darrell Valasek
Yes
09/13/2021