Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2020-05-11-29

Project Information

Project IdentifiersProject ID: 214587
DEA: 101J1604
EFIS: 1018000180
DIST-CO-RTE-PM10-STA-132-27.9/41.0
Award Date03/02/2020
Closeout Date04/26/2021
Work DescriptionCOLD PLANE AC PAVEMENT, RHMA OVERLAY AND SLURRY SEAL.
Location DescriptionSTANISLAUS COUNTY IN AND NEAR WATERFORD FROM G STREET TO 1.2 MILES EAST OF RUSHING ROAD
QA Service Level1 (Verified on 01/24/2020)

Sample Information

Sample Taken Date05/11/2020 Sample Unique Key29
Date that the sample was received by the laboratory/organization performing the testing05/27/2020 Sample typeDepartment Acceptance
A brief description of the samplePG 64-10 Asphalt Binder #1 Test The quantity of what the sample constitutes1 Can
From where was the sample collectedSource First name of sampler or witnessed byM
Last name of sampler or witnessed byCozad Title of samplerMat Tester
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameWestern Refining
Transportation Laboratory (TL) Number034614 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-10
ModifiedNo Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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