Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2025-11-02-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000927 DEA: 101R7204 EFIS: 1023000209 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-5,99-Var |
| Award Date | 05/01/2025 |
| Closeout Date | Not set |
| Work Description | PLACE POLYESTER CONCRETE OVERLAY, TRAFFIC STRIPE, COLD PLANE, AND HMA. |
| Location Description | SAN JOAQUIN COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/18/2025) |
Sample Information
| Sample Taken Date | 11/02/2025 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 11/14/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 WMA w/25%Rap |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Source |
| First name of sampler or witnessed by | Trevor | Last name of sampler or witnessed by | Fulkerson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 0602243 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | Lot number | 1 | |
| Sublot number | 1 | Tank number | |
| Time of sample | HMA Supplier | Teichert Vernalis | |
| Certified Asphalt Supplier | Pacific Northwest Oil - Stockton 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. | |||