Sample Record

Owner Lab

  • CT D04 - Hayward DME / District Laboratory

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 Date02/24/2023
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)
Reclaimed Asphalt Pavement Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-78 Date Created09/15/2021
JMF Submittal IDJMF3511-318-2021-96 JMF StatusSubmittal Accepted for Verification
Producer Mix ID311101510-LD_0121 Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing 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 Cortez, CT D04 - Hayward DME / District Laboratory08/31/2021Babak 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 Cortez, CT D04 - Hayward DME / District Laboratory09/08/2021Babak Kamranimoghaddam
Yes
09/15/2021

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-08-20-47-1 AASHTO T209-12 (Verified)
DIME Test ID: 2021-08-20-47-2 AASHTO T30-19 (Verified)