Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2025-05-23-52
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994859 DEA: 021H5904 EFIS: 0216000025 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-43.5,57.0 |
| Award Date | 08/07/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE CULVERTS WITH BRIDGES, STREAMBED RESTORATION, & LANDSCAPING. |
| Location Description | SISKIYOU COUNTY AT AND NEAR HAPPY CAMP AT 0.8 MILE WEST OF GORDON\\'S FERRY ROAD AND AT PORTUGUESE CREEK |
| QA Service Level | 1 (Verified on 08/10/2023) |
Sample Information
| Sample Taken Date | 05/23/2025 | Sample Unique Key | 52 |
|---|---|---|---|
| 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 | 09/30/2025 |
| Sample type | Quality Assurance | A brief description of the sample | PG 64-28 M |
| The quantity of what the sample constitutes | 2cans | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | H |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser Willow Creek | Transportation Laboratory (TL) Number | 823573 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 823573 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-28 M |
|---|---|---|---|
| Modified | Yes | Lot number | 1 |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | Yes |
| Multigrade Type | PG 64-28 / PG 64-16 / PG 64-10 | Asphalt Binder Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 2025-05-23-52 | 10/08/2025 | Info |
Test File Attachments
DIME Test ID: 2025-05-23-52-1 AASHTO T315-24 (Verified)