Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-10-17-16

Project Information

Project IdentifiersProject ID: 1000365
DEA: 033H9014
EFIS: 0323000075
DIST-CO-RTE-PM03-SOL,YOL-50,80,113-Var
Award Date09/27/2024
Closeout DateNot set
Work DescriptionHMA, RHMA, SIGN STRUCTURE, CAMERA SYSTEMS, & FO CABLE SYSTEMS.
Location DescriptionSOLANO AND YOLO COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/17/2024)

Sample Information

Sample Taken Date10/17/2025 Sample Unique Key16
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 testing10/21/2025
Sample typeNo Test A brief description of the sample64-16 rubber
The quantity of what the sample constitutes1 can of rubber From where was the sample collectedSource
First name of sampler or witnessed byJET Last name of sampler or witnessed byCONSULTANT MT
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero Benicia Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form850380 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number
Sublot number Asphalt Rubber Binder Mix Number

Submitted Tests

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