Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-09-17-64

Project Information

Project IdentifiersProject ID: 1000962
DEA: 09398404
EFIS: 0924000045
DIST-CO-RTE-PM09-INY-395-T122.0/R129.5
Award Date05/14/2025
Closeout Date10/31/2025
Work DescriptionASPHALTIC EMULSION (FOG SEAL COAT) & PRECOATED AGGREGATE (SEAL COAT).
Location DescriptionINYO 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 Level1 (Verified on 04/09/2025)

Sample Information

Sample Taken Date09/17/2025 Sample Unique Key64
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 testing09/29/2025
Sample typeNo Test A brief description of the sample58-22
The quantity of what the sample constitutes6 quart cans of rubber From where was the sample collectedSource
First name of sampler or witnessed byKyle Last name of sampler or witnessed byWengel
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCentennial Asphalt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form997544 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 58-22 Lot number
Sublot number Asphalt Rubber Binder Mix Number

Submitted Tests

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