Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-04-04-25
Project Information
| Project Identifiers | Project ID: 215710 DEA: 051N3504 EFIS: 0520000173 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101-37.8/46.0, 37.0/46.0 |
| Award Date | 06/09/2021 |
| Closeout Date | 09/06/2022 |
| Work Description | Replace concrete pavement with precast concrete panels. |
| Location Description | Near Atascadero on US 101 from 0.1 mile south of Route 58/10 separation to Traffic Way. |
| QA Service Level | 1 (Verified on 07/06/2021) |
Sample Information
| Sample Taken Date | 04/04/2022 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 04/13/2022 |
| Sample type | Department Acceptance | A brief description of the sample | BINDER |
| The quantity of what the sample constitutes | 1 OF 1 CAN | From where was the sample collected | Source |
| First name of sampler or witnessed by | SPM | Last name of sampler or witnessed by | REP |
| Title of sampler | TESTER | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | San Joaquin | Transportation Laboratory (TL) Number | 023321 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-10 |
|---|---|---|---|
| Modified | Lot number | 1 | |
| Sublot number | 1 | Tank number | |
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | San Joaquin Refinery - Bakersfield CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-04-04-25-1 AASHTO T315-20 (Verified)
DIME Test ID: 2022-04-04-25-2 AASHTO T315-20 (Verified)
DIME Test ID: 2022-04-04-25-3 AASHTO T315-20 (Verified)
