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
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 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

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

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments