Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2025-10-01-53
Project Information
| Project Identifiers | Project ID: 1001113 DEA: 021K0804 EFIS: 0224000049 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD-395-0.0/5.0 |
| Award Date | 05/30/2025 |
| Closeout Date | 12/29/2025 |
| Work Description | PLACE HMA OVERLAY AND REPLACE ASPHALT CONCRETE SURFACING. |
| Location Description | MODOC COUNTY NEAR LIKELY FROM LASSEN COUNTY LINE TO 0.8 MILE NORTH OF COUNTY ROAD 189 |
| QA Service Level | 1 (Verified on 05/05/2025) |
Sample Information
| Sample Taken Date | 10/01/2025 | Sample Unique Key | 53 |
|---|---|---|---|
| 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 | 10/01/2025 |
| Sample type | Quality Assurance | A brief description of the sample | PG58-34M |
| The quantity of what the sample constitutes | 2cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | C | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Hat Creek Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 854561 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-34 M |
|---|---|---|---|
| Modified | Yes | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | HAT CREEK CONSTRUCTION | |
| Certified Asphalt Supplier | Albina Asphalt - Chowchilla CA | Multigrade | No |
| Multigrade Type | Asphalt 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. | |||
