DIME » All Projects » Project - DEA: 021H1104 » Sample 2021-06-18-13 » Sample Details

Sample Record

DIME Sample ID 2021-06-18-13

Project Information

Project IdentifiersProject ID: 212777
DEA: 021H1104
EFIS: 0215000106
DIST-CO-RTE-PM02-LAS-299-25.58/25.58
Award Date12/04/2019
Closeout Date08/14/2023
Work DescriptionBUILDING WORK.
Location DescriptionLASSEN COUNTY ABOUT 11 MILES EAST OF BIEBER AT THE ADIN MAINTENANCE STATION
QA Service Level1 (Verified on 01/08/2019)

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

Sample Information

Sample Taken Date06/18/2021 Sample Unique Key13
Date that the sample was received by the laboratory/organization performing the testing06/24/2021 Sample typeDepartment Acceptance
A brief description of the samplePG 64-28M The quantity of what the sample constitutes2 cans
From where was the sample collectedSource First name of sampler or witnessed byE
Last name of sampler or witnessed byC Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameAlbina - Klamath Falls, OR
Transportation Laboratory (TL) Numberc766445 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28 M
ModifiedYes Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierAlbina Asphalt - Klamath Falls Plant - Klamath Falls OR MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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