Sample Record

DIME Sample ID 2021-03-30-33

Project Information

Project IdentifiersProject ID: 215296
DEA: 031F1504
EFIS: 0300001101
DIST-CO-RTE-PM03-SAC-50-R7.7/R9.5
Award Date02/05/2021
Closeout Date10/04/2022
Work DescriptionPLACE HMA, RHMA, AGGREGATE BASE AND FIBER OPTIC SYSTEM.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR RANCHO CORDOVA FROM BRADSHAW ROAD OVERCROSSING TO MATHER FIELD OVERCROSSING
QA Service Level1 (Verified on 11/30/2020)

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

Sample Information

Sample Taken Date03/30/2021 Sample Unique Key33
Date that the sample was received by the laboratory/organization performing the testing03/30/2021 Sample typeVerification
A brief description of the samplePG 64-16 Asphalt Binder The quantity of what the sample constitutes2 cans, for JMF Verification
From where was the sample collectedManufacturer First name of sampler or witnessed byTeichert Personnel (SAMPLER)
Last name of sampler or witnessed bySam Mosallem (WITNESS) Title of sampler
Telephone number of sampler Laboratory sample identificationJMF21-019
Linked DIME Sample ID The fabricator/manufacturer/facility nameTeichert Perkins Batch Plant
Transportation Laboratory (TL) NumberC790491 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA SupplierTeichert Perkins Batch Plant
Certified Asphalt SupplierMarathon Petroleum Co. LP - Mojave CA MultigradeNo
Multigrade TypeNot set Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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