Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-06-22-44
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215441 DEA: 021J5204 EFIS: 0220000087 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD,SIS-139-34.0/50.7,0.0/5.0 |
| Award Date | 03/02/2021 |
| Closeout Date | 09/27/2021 |
| Work Description | PLACE ASPHALT RUBBER BINDER CHIP SEAL & REPLACE AC SURFACING. |
| Location Description | MODOC AND SISKIYOU COUNTIES AT AND NEAR NEWELL FROM 3.3 MILES NORTH OF PEREZ OVERHEAD TO ROUTE 161 |
| QA Service Level | 1 (Verified on 02/01/2021) |
Sample Information
| Sample Taken Date | 06/22/2021 | Sample Unique Key | 44 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 07/13/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Rubberized PG58-22 |
| The quantity of what the sample constitutes | 1 of 2 gallon can | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Jacob | Last name of sampler or witnessed by | S |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina - Klamath Falls | Transportation Laboratory (TL) Number | 815585 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 58-22 | Lot number | |
| Sublot number | Asphalt Rubber Binder Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||