Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2026-07-10-48
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001371 DEA: 024F90U4 EFIS: 0224000157 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-41.0/41.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | HMA PAVEMENT, ELECTRICAL, LANDSCAPING AND DRAINAGE. |
| Location Description | SISKIYOU COUNTY AT AND NEAR HAPPY CAMP FROM INDIAN CREEK BRIDGE TO 0.2 MILE EAST OF DAVIS ROAD |
| QA Service Level | 1 (Verified on 07/08/2025) |
Sample Information
| Sample Taken Date | 07/10/2026 | Sample Unique Key | 48 |
|---|---|---|---|
| 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 | 07/17/2026 |
| Sample type | JMF Verification | A brief description of the sample | PG 58-22 |
| The quantity of what the sample constitutes | 2 CSANS OF 58-22 | From where was the sample collected | Source |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | DELGADO |
| Title of sampler | CONSULTANT | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | JF Shea Fawndale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 846205 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | JF Shea - Fawndale | |
| Certified Asphalt Supplier | Albina Asphalt - Klamath Falls - Klamath Falls OR | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | ||
| HMA Type | 1/2 INCH HMA | HMA Supplier Mix ID Number | NONE LISTED |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 2026-07-10-48 | 07/20/2026 | Info |
Test File Attachments
DIME Test ID: 2026-07-10-48-1 AASHTO T315-24 (Verified)