Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-08-17-60

Project Information

Project IdentifiersProject ID: 993572
DEA: 061C5004
EFIS: 0621000172
DIST-CO-RTE-PM06-MAD-145-17.5/25.5
Award Date04/21/2022
Closeout Date04/24/2023
Work DescriptionRHMA AND HMA PAVING, MODIFY SIGNAL AND LIGHTING SYSTEMS.
Location DescriptionMADERA COUNTY NEAR MADERA FROM 0.9 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO ROUTE 41
QA Service Level1 (Verified on 02/22/2022)

Sample Information

Sample Taken Date08/17/2022 Sample Unique Key60
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 testing08/24/2022
Sample typeDepartment Acceptance A brief description of the samplePG64-16 ARB
The quantity of what the sample constitutes1 CAN From where was the sample collectedSource
First name of sampler or witnessed byG Last name of sampler or witnessed byLitt
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namevulcan madera Transportation Laboratory (TL) Number039522
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number
Sublot number Asphalt Rubber Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments