Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-06-16-42
Project Information
| Project Identifiers | Project ID: 214616 DEA: 020J2004 EFIS: 0219000071 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-299-60.0/67.8 |
| Award Date | 02/27/2020 |
| Closeout Date | 08/27/2020 |
| Work Description | ASPHALT RUBBER CHIP SEAL, REPLACE AC SURFACING & THERMOPLASTIC STRIPE. |
| Location Description | SHASTA COUNTY NEAR MONTGOMERY CREEK FROM 0.1 MILE WEST OF BIG BEND ROAD TO 2.7 MILES EAST OF CARBERRY FLAT ROAD |
| QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
| Sample Taken Date | 06/16/2020 | Sample Unique Key | 42 |
|---|---|---|---|
| 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 | 06/24/2020 |
| Sample type | Department Acceptance | A brief description of the sample | TEST Asphalt Binder |
| The quantity of what the sample constitutes | PSE 1 Can, #1 Test, 1st sample, #2(851359), #3(851360), #4(Unknown) No Test | From where was the sample collected | Source |
| First name of sampler or witnessed by | C | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TE AND TET | Telephone number of sampler | |
| Laboratory sample identification | AB206063 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Valero Benicia | Transportation Laboratory (TL) Number | 853462 |
| 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 | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | 0 |
| Sublot number | 0 | 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: 2020-06-16-42-1 AASHTO T240-17 (Verified)
