Sample Record

Owner Lab

  • CT D04 - DME / District Lab

DIME Sample ID 2021-08-20-47

Project Information

Project IdentifiersProject ID: 214114
DEA: 040A5394
EFIS: 0418000244
DIST-CO-RTE-PM04-SOL-80,12-11.4/12.8, 2.1/2.8
Award DateNot set
Closeout DateNot set
Work DescriptionWiden EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc.
Location DescriptionI-80/I-680/Route 12 Interchange
QA Service Level1 (Verified on 04/23/2019)

Sample Information

Sample Taken Date08/20/2021 Sample Unique Key47
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 testing09/27/2021
Sample typeVerification A brief description of the sample1 Bag of RAP
The quantity of what the sample constitutes1 Bag From where was the sample collectedManufacturer
First name of sampler or witnessed by(Plant QC Rep) (Plant Last name of sampler or witnessed byRep)
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSyar Vallejo Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeReclaimed Asphalt Pavement RAP SourceSyar Vallejo
Aggregate Size Aggregate Source
RAP Stockpile Stockpile Size (tons)
JMF Verification ID JMF3513-2021-78

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-20-47-1AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Randy CortezCT D04 - DME / District Lab08/31/2021Babak Kamranimoghaddam
Yes
09/15/2021
2021-08-20-47-2AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)Randy CortezCT D04 - DME / District Lab09/08/2021Babak Kamranimoghaddam
Yes
09/15/2021