Sample Record

DIME Sample ID 2021-05-11-34

Project Information

Project IdentifiersProject ID: 214426
DEA: 030A5704
EFIS: 0300020593
DIST-CO-RTE-PM03-YUB-20-13.3/R18.2
Award Date01/02/2020
Closeout Date07/15/2025
Work DescriptionBrowns Valley Rehab: CONSTRUCT BRIDGE, REALIGN CURVE, WIDEN SHOULDERS AND CULVERT WORK.
Location DescriptionYUBA COUNTY FROM MARYSVILLE ROAD TO THE YUBA RIVER BRIDGE
QA Service Level1 (Verified on 10/23/2019)

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

Sample Information

Sample Taken Date05/11/2021 Sample Unique Key34
Date that the sample was received by the laboratory/organization performing the testing07/12/2021 Sample typeVerification
A brief description of the samplePG64-16 Marathon binder The quantity of what the sample constitutes2 cans
From where was the sample collectedSource First name of sampler or witnessed byKenny
Last name of sampler or witnessed byMcHugh Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMarathon
Transportation Laboratory (TL) Number 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
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierMarathon Petroleum Co. LP - Elk Grove CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

JMF Information

Verification IDJMF3513-2021-68 Date Created08/10/2021
JMF Submittal IDJMF3511-23-2021-86 JMF StatusSubmittal Authorized For Use
Producer Mix ID309-40442407-M Authorized Date09/10/2021

Submitted Tests

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