DIME - Sample Record for DIME Sample ID 2021-08-20-46

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DIME » All Projects » Project - DEA: 040A5394 » Sample 2021-08-20-46 » Sample Details

Sample Record

Owner Lab

CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2021-08-20-46

Project Information

Project Identifiers	Project ID: 214114 DEA: 040A5394 EFIS: 0418000244
DIST-CO-RTE-PM	04-SOL-80,12-11.4/12.8, 2.1/2.8
Award Date	Not set
Closeout Date	02/24/2023
Work Description	Widen EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc.
Location Description	I-80/I-680/Route 12 Interchange
QA Service Level	1 (Verified on 04/23/2019)

Sample Information

Sample Taken Date	08/20/2021	Sample Unique Key	46
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	08/20/2021
Sample type	Verification	A brief description of the sample	1 Bag of RAP
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	(Plant QC Rep) (Plant	Last name of sampler or witnessed by	Rep)
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Syar Valejo	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Reclaimed Asphalt Pavement	RAP Source	Syar Lake Herman
Aggregate Size		Aggregate Source
RAP Stockpile		Stockpile Size (tons)
Reclaimed Asphalt Pavement Mix Number	Not set

JMF Information

Verification ID	JMF3513-2021-78	Date Created	09/15/2021
JMF Submittal ID	JMF3511-318-2021-96	JMF Status	Submittal Accepted for Verification
Producer Mix ID	311101510-LD_0121	Authorized Date	N/A

Submitted Tests

DIME Test ID	Test Method	Tester Name	Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2021-08-20-46-1	AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)	Randy Cortez	CT D04 - Hayward DME / District Laboratory	08/31/2021	Babak Kamranimoghaddam	Yes	09/15/2021
2021-08-20-46-2	AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)	Nicholas Shelly	CT D04 - Hayward DME / District Laboratory	09/08/2021	Babak Kamranimoghaddam	Yes	09/15/2021

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2021-08-20-46-1 AASHTO T209-12 (Verified)
DIME Test ID: 2021-08-20-46-2 AASHTO T30-19 (Verified)