Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-09-16-74

Project Information

Project IdentifiersProject ID: 1000963
DEA: 09398504
EFIS: 0924000059
DIST-CO-RTE-PM09-MNO-395-R44.6/50.7
Award Date04/10/2025
Closeout Date10/31/2025
Work DescriptionASPHALTIC EMULSION (FOG SEAL COAT) & PRECOATED AGGREGATE (SEAL COAT).
Location DescriptionMONO COUNTY NEAR LEE VINING FROM 0.3 MILE SOUTH OF OLD WEST PORTAL ROAD TO 0.2 MILE SOUTH OF UTILITY ROAD
QA Service Level1 (Verified on 04/09/2025)

Sample Information

Sample Taken Date09/16/2025 Sample Unique Key74
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 rubber
The quantity of what the sample constitutes5 quart cans 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 Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form997541 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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