Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-06-16-36
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215250 DEA: 021J4404 EFIS: 0220000079 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD-299-20.0/23.1,23.5/24.5,33.5/37.5 |
| Award Date | 12/14/2020 |
| Closeout Date | 09/27/2021 |
| Work Description | ASPHALT RUBBER CHIP SEAL. |
| Location Description | MODOC COUNTY AT VARIOUS LOCATIONS FROM 1.8 MILES WEST OF ROUTE 139 TO 0.3 MILE WEST OF RATTLESNAKE CREEK BRIDGE |
| QA Service Level | 1 (Verified on 10/30/2020) |
Sample Information
| Sample Taken Date | 06/16/2021 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 06/24/2021 |
| Sample type | Department Acceptance | A brief description of the sample | PG64-28M |
| The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | C | Last name of sampler or witnessed by | B |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina - Klamath Falls, OR | Transportation Laboratory (TL) Number | 768795 |
| 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 64-28 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: 2021-06-16-36-1 AASHTO T240-17 (Verified)
DIME Test ID: 2021-06-16-36-2 AASHTO T315-20 (Verified)
DIME Test ID: 2021-06-16-36-3 AASHTO T315-20 (Verified)
DIME Test ID: 2021-06-16-36-4 AASHTO T315-20 (Verified)
DIME Test ID: 2021-06-16-36-5 AASHTO T313-19 (Verified)
