Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-03-25-26

Project Information

Project IdentifiersProject ID: 994857
DEA: 010H6104
EFIS: 0117000241
DIST-CO-RTE-PM01-HUM-36-13.5/R36.1
Award Date10/31/2023
Closeout DateNot set
Work DescriptionCOLD PLANE AND OVERLAY HMA, & REPLACE GUARDRAILS.
Location DescriptionHUMBOLDT COUNTY AT AND NEAR BRIDGEVILLE FROM 3.4 MILES WEST OF GRIZZLY CREEK BRIDGE TO 0.8 MILE EAST OF SOUTH FORK VAN DUZEN RIVER
QA Service Level1 (Verified on 06/08/2023)

Sample Information

Sample Taken Date03/25/2025 Sample Unique Key26
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 testing03/28/2025
Sample typeQuality Assurance A brief description of the sampleJMF 1 can PG 58-22 binder
The quantity of what the sample constitutes1 can binder From where was the sample collectedSource
First name of sampler or witnessed byBryan Last name of sampler or witnessed bySanderson
Title of samplerTET Telephone number of sampler
Laboratory sample identification24-284 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMercer Dinsmore Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form907099 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA SupplierMercer Fraser Dinsmore
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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