Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2025-07-15-42
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000898 DEA: 010N8304 EFIS: 0124000116 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-96-4.9/R13.3 |
| Award Date | 04/03/2025 |
| Closeout Date | 11/03/2025 |
| Work Description | PLACE RUBBER CHIP SEAL, MICRO-SURFACING, AND REPLACE AC SURFACING. |
| Location Description | HUMBOLDT COUNTY AT HOOPA FROM 4.6 MILES EAST OF WILLOW CREEK BRIDGE TO HOSTLER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/21/2025) |
Sample Information
| Sample Taken Date | 07/15/2025 | Sample Unique Key | 42 |
|---|---|---|---|
| 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 testing | 07/17/2025 |
| Sample type | Quality Assurance | A brief description of the sample | PG 64-16 |
| The quantity of what the sample constitutes | 1 quart can | From where was the sample collected | Source |
| First name of sampler or witnessed by | nolan | Last name of sampler or witnessed by | m |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | 2025-07-15-94 | |
| The fabricator/manufacturer/facility name | valero | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 00000 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 2025-07-15-42 Report 133 | 07/31/2025 | Info |