Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-07-20-12

Project Information

Project IdentifiersProject ID: 1001090
DEA: 021K0504
EFIS: 0224000046
DIST-CO-RTE-PM02-SHA-44-L0.4/L1.8
Award Date05/15/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT AND RHMA (GAP GRADED).
Location DescriptionSHASTA COUNTY IN REDDING FROM CONTINENTAL UNDERCROSSING NO. 06-0135L TO ROUTE 5/44 SEPARATION
QA Service Level1 (Verified on 05/01/2025)

Sample Information

Sample Taken Date07/20/2025 Sample Unique Key12
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 testing07/24/2025
Sample typeNo Test A brief description of the samplePG 64-16
The quantity of what the sample constitutes2 Cans From where was the sample collectedSource
First name of sampler or witnessed byC Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJF Shea Fawndale Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form847838 Structure unique identifier
Structure name Bid ItemNot set

Material Information

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

Submitted Tests

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