Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-06-10-21
Project Information
| Project Identifiers | Project ID: 993504 DEA: 010K9604 EFIS: 0121000036 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-20-17.3/26.0 |
| Award Date | 04/21/2022 |
| Closeout Date | 11/21/2022 |
| Work Description | REMOVE AND PLACE THERMOPLASTIC TRAFFIC STRIPE WITH MICRO-SURFACING. |
| Location Description | MENDOCINO COUNTY ABOUT 8 MILES WEST OF WILLITS FROM CHAMBERLAIN CREEK BRIDGE TO 0.3 MILE WEST OF IRMULCO ROAD |
| QA Service Level | 1 (Verified on 01/21/2022) |
Sample Information
| Sample Taken Date | 06/10/2022 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 06/13/2022 |
| Sample type | Department Acceptance | A brief description of the sample | Binder, 3/4" HMA Type A, PG58-22R25LAS-3921 |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | C | Last name of sampler or witnessed by | Malik |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite Ukiah | Transportation Laboratory (TL) Number | 555914 |
| 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 58-22 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | Ukiah HMA Plant - 100351 | |
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia 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: 2022-06-10-21-1 AASHTO T315-20 (Verified)
DIME Test ID: 2022-06-10-21-2 AASHTO T315-20 (Verified)
DIME Test ID: 2022-06-10-21-3 AASHTO T315-20 (Verified)
