Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2026-07-06-63

Project Information

Project IdentifiersProject ID: 1000513
DEA: 020J8504
EFIS: 0219000168
DIST-CO-RTE-PM02-SIS-89-21/R34.622
Award Date08/05/2025
Closeout DateNot set
Work DescriptionMCCLOUD CAPM - PAVEMENT REHABILITATION
Location DescriptionIN SISKIYOU COUNTY AT AND NEAR MCCLOUD FROM 0.1 MILE SOUTH OF MUD CREEK BRIDGE TO ROUTE 5
QA Service Level1 (Verified on 08/12/2024)

Sample Information

Sample Taken Date07/06/2026 Sample Unique Key63
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 testing07/15/2026
Sample typeProduction Start-Up A brief description of the sampleAsphalt Rubber Binder
The quantity of what the sample constitutes2 CANS From where was the sample collectedSource
First name of sampler or witnessed byJ Last name of sampler or witnessed byDELGADO
Title of samplerCONSULTANT Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAlbina - Klamath Falls, OR Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form875622 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 58-22 Lot number
Sublot number Asphalt Rubber Binder Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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