Sample Record

DIME Sample ID 2021-05-26-44

Project Information

Project IdentifiersProject ID: 215253
DEA: 021J4804
EFIS: 0220000083
DIST-CO-RTE-PM02-SHA,TRI-36-8.0/11.912,27.1/R41.139
Award Date02/05/2021
Closeout Date09/30/2021
Work DescriptionASPHALT RUBBER CHIP SEAL AND TRAFFIC STRIPE.
Location DescriptionSHASTA AND TRINITY COUNTIES AT AND NEAR PLATINA FROM 0.4 MILE EAST OF MIDDLE FORK COTTONWOOD CREEK BRIDGE TO BEEGUM CREEK BRIDGE AND FROM 1.3 MILES EAST OF BRAMLET ROAD TO SHASTA COUNTY LINE
QA Service Level1 (Verified on 10/30/2020)

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

Sample Information

Sample Taken Date05/26/2021 Sample Unique Key44
Date that the sample was received by the laboratory/organization performing the testing06/23/2021 Sample typeDepartment Acceptance
A brief description of the samplePG58-22 The quantity of what the sample constitutes3RD NO TEST
From where was the sample collectedSource First name of sampler or witnessed byD.
Last name of sampler or witnessed byOWENS Title of samplerPEI
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameValero-Benicia Asphalt Plant
Transportation Laboratory (TL) NumberNot Provided Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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