Sample Record

DIME Sample ID 2021-04-28-30

Project Information

Project IdentifiersProject ID: 212914
DEA: 031E0604
EFIS: 0312000068
DIST-CO-RTE-PM03-YUB-70-15.5/16.5
Award Date07/31/2019
Closeout Date08/30/2023
Work DescriptionSIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location DescriptionNEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
QA Service Level1 (Verified on 08/22/2019)

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

Sample Information

Sample Taken Date04/28/2021 Sample Unique Key30
Date that the sample was received by the laboratory/organization performing the testing04/28/2021 Sample typeVerification
A brief description of the samplePG 64-16 The quantity of what the sample constitutes1 CAN
From where was the sample collectedManufacturer First name of sampler or witnessed byTeichert Personnel (SAMPLER)
Last name of sampler or witnessed byKen McHugh (WITNESS) Title of sampler
Telephone number of sampler Laboratory sample identificationJMF21-024
Linked DIME Sample ID The fabricator/manufacturer/facility nameTeichert-Hallwood Plant
Transportation Laboratory (TL) NumberC741863 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-Hallwood Plant
Certified Asphalt SupplierPacific Northwest Oil - Stockton CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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