Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-09-17-17
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214907 DEA: 101K4204 EFIS: 1019000103 |
|---|---|
| DIST-CO-RTE-PM | 10-MER,STA-165-30.6/36.7,0.0/1.6 |
| Award Date | 06/09/2020 |
| Closeout Date | 04/14/2021 |
| Work Description | COLD PLANE AC PAVEMENT, RESURFACE WITH RHMA, AND MICRO-SURFACING. |
| Location Description | MERCED COUNTY IN AND NEAR HILMAR FROM MERCED RIVER BRIDGE TO STANISLAUS COUNTY LINE AND IN STANISLAUS COUNTY NEAR TURLOCK FROM MERCED COUNTY LINE TO ROUTE 99/165 SEPARATION |
| QA Service Level | 1 (Verified on 04/28/2020) |
Sample Information
| Sample Taken Date | 09/17/2020 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 09/25/2020 |
| Sample type | Department Acceptance | A brief description of the sample | PG 64-16 Asphalt Binder #3(034041), #4(034051), #5(034056) No Test |
| The quantity of what the sample constitutes | 1 can | From where was the sample collected | Source |
| First name of sampler or witnessed by | M | Last name of sampler or witnessed by | Cozad |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | FNF AC INDUSTRIES | Transportation Laboratory (TL) Number | 034041 |
| 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 | 1 |
| Sublot number | 10 | 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||