Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-10-11-3

Project Information

Project IdentifiersProject ID: 214731
DEA: 051M0004
EFIS: 0519000047
DIST-CO-RTE-PM05-SLO-101-16.5/R21.5
Award Date04/22/2020
Closeout Date08/23/2021
Work DescriptionCOLD PLANE AND RHMA-GAP GRADED OVERLAY ON EXISTING ROADWAY.
Location DescriptionSAN LUIS OBISPO COUNTY IN AND NEAR PISMO BEACH FROM 0.1 MILE SOUTH OF PRICE CANYON ROAD TO SAN LUIS CREEK BRIDGE
QA Service Level1 (Verified on 05/29/2020)

Sample Information

Sample Taken Date10/11/2020 Sample Unique Key3
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 testing10/19/2020
Sample typeDepartment Acceptance A brief description of the sampleNoTest, #27, #28(201012E), #29(201013E)
The quantity of what the sample constitutes1 Can From where was the sample collectedSource
First name of sampler or witnessed bySPM Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalPortland Garey Plant Transportation Laboratory (TL) Number201012E
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number 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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Sample File Attachments

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Test File Attachments