Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-06-25-19
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215624 DEA: 020J4004 EFIS: 0219000115 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-161-17.5/18.5 |
| Award Date | 05/11/2021 |
| Closeout Date | 09/27/2021 |
| Work Description | FULL DEPTH RECLAMATION - CEMENT AND PLACE HMA. |
| Location Description | SISKIYOU COUNTY NEAR TULELAKE FROM 0.3 MILE EAST OF MALONE ROAD TO 1.2 MILES EAST OF HILL ROAD |
| QA Service Level | 1 (Verified on 04/19/2021) |
Sample Information
| Sample Taken Date | 06/25/2021 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | PG58-34M |
| The quantity of what the sample constitutes | 1 OF 2 CANS | From where was the sample collected | Source |
| First name of sampler or witnessed by | RANDY | Last name of sampler or witnessed by | BIBBINS |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina - Klamath Falls, OR | Transportation Laboratory (TL) Number | 990940 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-34 M |
|---|---|---|---|
| Modified | Yes | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Albina Asphalt - Klamath Falls Plant - Klamath Falls OR | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-06-25-19-1 AASHTO T240-17 (Verified)
DIME Test ID: 2021-06-25-19-2 AASHTO T315-16 (Verified)
DIME Test ID: 2021-06-25-19-3 AASHTO T315-16 (Verified)
DIME Test ID: 2021-06-25-19-4 AASHTO T315-16 (Verified)
DIME Test ID: 2021-06-25-19-5 AASHTO T313-19 (Verified)
DIME Test ID: 2021-06-25-19-6 AASHTO T315-16 (Verified)
