Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-07-15-52
Project Information
| Project Identifiers | Project ID: 215367 DEA: 021J4904 EFIS: 0220000084 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-32-14.0/20.0 |
| Award Date | 02/02/2021 |
| Closeout Date | 04/11/2024 |
| Work Description | PLACE HOT MIX ASPHALT (TYPE A). |
| Location Description | TEHAMA COUNTY ABOUT 28 MILES EAST OF FOREST RANCH FROM 1.1 MILES EAST OF DEER CREEK BRIDGE NO. 08-0068 TO 0.4 MILE WEST OF SLATE CREEK BRIDGE NO. 08-0154 |
| QA Service Level | 1 (Verified on 12/24/2020) |
Sample Information
| Sample Taken Date | 07/15/2022 | Sample Unique Key | 52 |
|---|---|---|---|
| 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 | 07/27/2022 |
| Sample type | Department Acceptance | A brief description of the sample | PG 58-22 |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Source |
| First name of sampler or witnessed by | _ | Last name of sampler or witnessed by | _ |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina Asphalt | Transportation Laboratory (TL) Number | 876977 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF | 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 | ||
| Certified Asphalt Supplier | Albina Asphalt - Klamath Falls Plant - Klamath Falls OR | 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: 2022-07-15-52-1 AASHTO T315-20 (Verified)
DIME Test ID: 2022-07-15-52-2 AASHTO T315-20 (Verified)
DIME Test ID: 2022-07-15-52-3 AASHTO T315-20 (Verified)
DIME Test ID: 2022-07-15-52-4 AASHTO T313-19 (Verified)
