DIME - Sample Record for DIME Sample ID 2021-09-28-41

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DIME » All Projects » Project - DEA: 024C40V4 » Sample 2021-09-28-41 » Sample Details

Sample Record

Owner Lab

CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-28-41

Project Information

Project Identifiers	Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125
DIST-CO-RTE-PM	02-SHA-5-R3.8/R11.7
Award Date	11/06/2018
Closeout Date	08/16/2023
Work Description	WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location Description	SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level	1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date	09/28/2021	Sample Unique Key	41
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	10/13/2021
Sample type	Department Acceptance	A brief description of the sample	NO TEST, PG 64-16
The quantity of what the sample constitutes	2 cans	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	C	Last name of sampler or witnessed by	Bryant
Title of sampler	TET	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	JF Shea - Fawndale	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Asphalt Rubber Binder	Asphalt modifier supplier
Performance Grade	PG 64-16	Lot number
Sublot number		Asphalt Rubber Binder Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
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Test File Attachments