Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2025-09-17-64
Project Information
| Project Identifiers | Project ID: 1000962 DEA: 09398404 EFIS: 0924000045 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-395-T122.0/R129.5 |
| Award Date | 05/14/2025 |
| Closeout Date | 10/31/2025 |
| Work Description | ASPHALTIC EMULSION (FOG SEAL COAT) & PRECOATED AGGREGATE (SEAL COAT). |
| Location Description | INYO COUNTY IN AND NEAR MESA FROM 0.4 MILE SOUTH OF PLEASANT VALLEY DAM ROAD TO 1.3 MILES NORTH OF GORGE ROAD |
| QA Service Level | 1 (Verified on 04/09/2025) |
Sample Information
| Sample Taken Date | 09/17/2025 | Sample Unique Key | 64 |
|---|---|---|---|
| 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 | 09/29/2025 |
| Sample type | No Test | A brief description of the sample | 58-22 |
| The quantity of what the sample constitutes | 6 quart cans of rubber | From where was the sample collected | Source |
| First name of sampler or witnessed by | Kyle | Last name of sampler or witnessed by | Wengel |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Centennial Asphalt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 997544 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 58-22 | Lot number | |
| Sublot number | Asphalt Rubber 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 |
|---|---|---|---|
| No results found. | |||
