Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2026-06-15-90
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Project Information
| Project Identifiers | Project ID: 1001510 DEA: 021J2904 EFIS: 0220000055 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-299-88.1/89.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CABLE NET ATTENUATOR, ROADWAY EXCAVATION AND BOULDER REMOVAL. |
| Location Description | SHASTA COUNTY NEAR FALL RIVER MILLS FROM 2.7 MILES WEST OF FALL RIVER GOLF ROAD TO 1.2 MILES WEST OF FALL RIVER GOLF ROAD |
| QA Service Level | 1 (Verified on 09/02/2025) |
Sample Information
| Sample Taken Date | 06/15/2026 | Sample Unique Key | 90 |
|---|---|---|---|
| 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 | 07/27/2026 |
| Sample type | JMF Verification | A brief description of the sample | 1 can of PG 64-28 |
| The quantity of what the sample constitutes | 1 Can of binder | From where was the sample collected | Source |
| First name of sampler or witnessed by | PEI | Last name of sampler or witnessed by | . |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Tullis Inc. - Northstate Asphalt (Redding CA) | Transportation Laboratory (TL) Number | 875931 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 875931 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-28 |
|---|---|---|---|
| Modified | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | Tullis - Northstate Asphalt - Redding, CA | |
| Certified Asphalt Supplier | Albina Asphalt - Klamath Falls - Klamath Falls OR | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | ||
| HMA Type | 1/2" HMA-A 15% RAP PG 64-28 | HMA Supplier Mix ID Number | NOT ON TL-101 |
Submitted Tests
Test File Attachments
DIME Test ID: 2026-06-15-90-1 AASHTO T315-24 (Verified)
DIME Test ID: 2026-06-15-90-2 AASHTO T315-24 (Verified)