Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-09-27-73
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 215744 DEA: 033H93U4 EFIS: 0321000091 |
|---|---|
| DIST-CO-RTE-PM | 03-YUB,BUT-70-25.5/25.8,0.0/3.8 |
| Award Date | 07/15/2021 |
| Closeout Date | Not set |
| Work Description | WIDEN ROADWAY & SHOULDER, ADD TURN LANES & CONSTRUCT BRIDGE. |
| Location Description | YUBA AND BUTTE COUNTIES ABOUT 11 MILES NORTH OF MARYSVILLE FROM 0.8 MILE NORTH OF CHANDLER ROAD TO 0.2 MILE SOUTH OF EAST GRIDLEY ROAD |
| QA Service Level | 1 (Verified on 05/20/2021) |
Sample Information
| Sample Taken Date | 09/27/2021 | Sample Unique Key | 73 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 12/28/2021 |
| Sample type | Verification | A brief description of the sample | Asphalt Binder PG 64-16 |
| The quantity of what the sample constitutes | Cans of oil | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Kenny | Last name of sampler or witnessed by | McHugh |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Quality Assurance | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2021-85 | Date Created | 12/27/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-23-2021-103 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 309-40442407-V | Authorized Date | 10/13/2021 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||