Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-07-22-78

Project Information

Project IdentifiersProject ID: 1000898
DEA: 010N8304
EFIS: 0124000116
DIST-CO-RTE-PM01-HUM-96-4.9/R13.3
Award Date04/03/2025
Closeout Date11/03/2025
Work DescriptionPLACE RUBBER CHIP SEAL, MICRO-SURFACING, AND REPLACE AC SURFACING.
Location DescriptionHUMBOLDT COUNTY AT HOOPA FROM 4.6 MILES EAST OF WILLOW CREEK BRIDGE TO HOSTLER CREEK BRIDGE
QA Service Level1 (Verified on 03/21/2025)

Sample Information

Sample Taken Date07/22/2025 Sample Unique Key78
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 testing08/12/2025
Sample typeQuality Assurance A brief description of the sampleAsphalt Rubber Binder, PG 64-16 CR
The quantity of what the sample constitutes1 gallon can From where was the sample collectedSource
First name of sampler or witnessed byNoha Last name of sampler or witnessed byM
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAmerican Pavement Systems Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form00000 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

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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