Sample Record

DIME Sample ID 2021-09-20-37

Project Information

Project IdentifiersProject ID: 215410
DEA: 060U5204
EFIS: 0616000003
DIST-CO-RTE-PM06-MAD-99-R14.0/R14.5,15.1/19.6
Award Date04/01/2021
Closeout Date10/03/2022
Work DescriptionHMA (TYPE A) AND RHMA (GAP GRADED) RESURFACING.
Location DescriptionMADERA COUNTY IN AND NEAR MADERA FROM 0.2 MILE SOUTH OF AVENUE 17 OVERCROSSING TO 0.3 MILE NORTH OF AVENUE 17 OVERCROSSING AND FROM 1.0 MILE NORTH OF AVENUE 17 OVERCROSSING TO 0.9 MILE NORTH OF AVENUE 20 OVERCROSSING
QA Service Level1 (Verified on 01/25/2021)

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

Sample Information

Sample Taken Date09/20/2021 Sample Unique Key37
Date that the sample was received by the laboratory/organization performing the testing10/01/2021 Sample typeDepartment Acceptance
A brief description of the samplePG70-10 The quantity of what the sample constitutes1 CAN
From where was the sample collectedSource First name of sampler or witnessed byBrandon
Last name of sampler or witnessed byVULCAN TECH Title of samplerVULCAN TECH
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameSan Joaquin Refinery
Transportation Laboratory (TL) Numberc040590 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 70-10
ModifiedNo Lot number2
Sublot number2 Tank number
Time of sample HMA SupplierVULCAN MADERA
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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