Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-08-12-27
Project Information
| Project Identifiers | Project ID: 993439 DEA: 022J4204 EFIS: 0221000076 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-3-R26.3/29.8 |
| Award Date | 02/07/2022 |
| Closeout Date | 10/06/2022 |
| Work Description | HMA OVERLAY AND REPLACE AC SURFACING. |
| Location Description | TRINITY COUNTY NEAR DOUGLAS CITY FROM BROWNS CREEK BRIDGE TO READING CREEK BRIDGE |
| QA Service Level | 1 (Verified on 12/13/2021) |
Sample Information
| Sample Taken Date | 08/12/2022 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 08/17/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 3/8 HMA A 25 rap PG 58-34 |
| The quantity of what the sample constitutes | 1 can | From where was the sample collected | Source |
| First name of sampler or witnessed by | C | Last name of sampler or witnessed by | Rogers |
| Title of sampler | Plant Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Northstate Asphalt | Transportation Laboratory (TL) Number | 851764 |
| 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 58-34 M |
|---|---|---|---|
| Modified | Yes | 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 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-08-12-27-1 AASHTO T315-20 (Verified)
