Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-09-08-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215393
DEA: 021J5104
EFIS: 0220000086
DIST-CO-RTE-PM02-LAS,MOD-139-57.0/66.635,0.0/0.1
Award Date02/10/2021
Closeout Date11/24/2021
Work DescriptionPERFORM COLD IN-PLACE RECYCLING AND PLACE HOT MIX ASPHALT (TYPE A).
Location DescriptionLASSEN AND MODOC COUNTIES NEAR ADIN FROM 4.5 MILES SOUTH OF COUNTY ROAD A2 TO 0.1 MILE SOUTH OF ROUTE 299
QA Service Level1 (Verified on 01/07/2021)

Sample Information

Sample Taken Date09/08/2021 Sample Unique Key13
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 testing09/10/2021
Sample typeAcceptance A brief description of the sample1/2 inch HMA-A 25 RAP PG58-34M Albina
The quantity of what the sample constitutes10,000 Ton Milestone, 8 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byEmilio Last name of sampler or witnessed byChavez
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD78940 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA Transportation Laboratory (TL) Number853171
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 Grading1/2 inch Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-08-13-1AASHTO 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 Lab09/13/2021Darrell Valasek
Yes
09/16/2021
2021-09-08-13-2AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)Karen DoradoCT D02 - North Region Materials Lab09/11/2021Darrell Valasek
Yes
09/16/2021