Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-04-30-22
Project Information
| Project Identifiers | Project ID: 213733 DEA: 051C85U4 EFIS: 0518000156 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-10.2/17.5 |
| Award Date | 02/19/2019 |
| Closeout Date | 11/15/2021 |
| Work Description | Santa Cruz 1 CAPM and Bridge Rails |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR SANTA CRUZ FROM NORTH APTOS UNDERPASS TO JUNCTION ROUTE 9. |
| QA Service Level | 1 (Verified on 02/14/2019) |
Sample Information
| Sample Taken Date | 04/30/2020 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 05/27/2020 |
| Sample type | Department Acceptance | A brief description of the sample | Asphalt Binder Sample |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | D Evans | Last name of sampler or witnessed by | D Evans |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | AB206021 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | San Joaquin Refinery | Transportation Laboratory (TL) Number | 867762 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG64-10 |
|---|---|---|---|
| Modified | No | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-30-22-1 AASHTO T240-17 (Verified)
