Sample Record

DIME Sample ID 2021-06-29-29

Project Information

Project IdentifiersProject ID: 215075
DEA: 060Q9104
EFIS: 0614000005
DIST-CO-RTE-PM06-TUL-99-19.2/19.8
Award Date09/25/2020
Closeout Date05/11/2023
Work DescriptionBRIDGE DECK AND OUTSIDE GIRDER REPLACEMENT.
Location DescriptionTULARE COUNTY NEAR TIPTON FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF AVENUE 152 OVERCROSSING
QA Service Level1 (Verified on 07/28/2020)

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

Sample Information

Sample Taken Date06/29/2021 Sample Unique Key29
Date that the sample was received by the laboratory/organization performing the testing07/06/2021 Sample typeDepartment Acceptance
A brief description of the samplePG70-10 The quantity of what the sample constitutes1 of 1 cans
From where was the sample collectedManufacturer First name of sampler or witnessed byB
Last name of sampler or witnessed byLathan Title of samplerLab tech
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameJaxon - Deer Creek
Transportation Laboratory (TL) Numberc056230 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 70-10
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA SupplierJaxon - Deer Creek
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield 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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