Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-10-30-51

Project Information

Project IdentifiersProject ID: 1000760
DEA: 101L2804
EFIS: 1020000103
DIST-CO-RTE-PM10-SJ-4-20.5/20.8
Award Date01/28/2025
Closeout DateNot set
Work DescriptionINSTALL LEFT-TURN CHANNELIZATION.
Location DescriptionSAN JOAQUIN COUNTY NEAR STOCKTON FROM 0.2 MILE WEST OF WALKER LANE TO 0.1 MILE EAST OF WALKER LANE
QA Service Level1 (Verified on 11/12/2024)

Sample Information

Sample Taken Date10/30/2025 Sample Unique Key51
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 testing11/14/2025
Sample typeNo Test A brief description of the sample1/2 WMA-SP Rap25%
The quantity of what the sample constitutes2 Cans From where was the sample collectedJob Site
First name of sampler or witnessed byTrevor Last name of sampler or witnessed byFulkerson
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Vernalis Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form0300002 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
Modified Lot number1
Sublot number1 Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierPacific Northwest Oil - Stockton CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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