Sample Record

DIME Sample ID 2021-07-08-58

Project Information

Project IdentifiersProject ID: 215656
DEA: 032G0604
EFIS: 0320000192
DIST-CO-RTE-PM03-SAC-5736-
Award Date05/26/2021
Closeout Date05/11/2022
Work DescriptionREMOVE AND REPLACE CL2 AGGREGATE BASE AND HMA (TYPE A).
Location DescriptionSACRAMENTO COUNTY IN SACRAMENTO AT THE NORTHGATE MAINTENANCE STATION AT 3940 ROSIN COURT
QA Service Level1 (Verified on 04/19/2021)

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

Sample Information

Sample Taken Date07/08/2021 Sample Unique Key58
Date that the sample was received by the laboratory/organization performing the testing07/08/2021 Sample typeVerification
A brief description of the samplePG 64-16, Marathon/Western The quantity of what the sample constitutes2 Cans
From where was the sample collectedSupplier First name of sampler or witnessed by?
Last name of sampler or witnessed by? Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMarathonWestern
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 IDJMF3513-2021-79 Date Created09/17/2021
JMF Submittal IDJMF3511-23-2021-97 JMF StatusSubmittal Authorized For Use
Producer Mix ID2021-RL-003D-MAE-64-16 Authorized Date09/10/2021

Submitted Tests

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