Sample Record

DIME Sample ID 2023-08-22-64

Project Information

Project IdentifiersProject ID: 994806
DEA: 101P5404
EFIS: 1022000134
DIST-CO-RTE-PM10-SJ-5-R16.2/R23.9
Award Date03/15/2023
Closeout Date02/26/2024
Work DescriptionCold plane asphalt concrete pavement and resurface with HMA (Type A).
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN SAN JOAQUIN COUNTY IN AND NEAR LATHROP AND STOCKTON AT VARIOUS LOCATIONS FROM 0.3 MILE SOUTH OF LOUISE AVENUE UNDERCROSSING TO WALKER SLOUGH BRIDGE.
QA Service Level1 (Verified on 05/08/2023)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date08/22/2023 Sample Unique Key64
Date that the sample was received by the laboratory/organization performing the testing10/09/2023 Sample typeDepartment Acceptance
A brief description of the samplePG 70-10 Rubberized Binder The quantity of what the sample constitutes2
From where was the sample collectedSupplier First name of sampler or witnessed byT.
Last name of sampler or witnessed byFulkerson Title of samplerTechnician
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameTeichert Vernalis
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number2
Sublot number Asphalt Rubber Binder Mix Number

Submitted Tests

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