Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-08-31-32
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993297 DEA: 010F8204 EFIS: 0116000067 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-R90.1/109.6 |
| Award Date | 01/27/2022 |
| Closeout Date | 03/04/2024 |
| Work Description | PLACE RHMA-G AND HMA (TYPE A). |
| Location Description | IN HUMBOLDT COUNTY IN AND NEAR TRINIDAD FROM 1.3 MILES SOUTH OF SCHOOL ROAD OVERCROSSING TO 0.4 MILE NORTH OF BIG LAGOON BRIDGE |
| QA Service Level | 1 (Verified on 10/12/2021) |
Sample Information
| Sample Taken Date | 08/31/2022 | Sample Unique Key | 32 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 09/05/2022 |
| Sample type | Department Acceptance | A brief description of the sample | Asphalt Rubber Binder PG 64-16 |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | R | Last name of sampler or witnessed by | Werner |
| Title of sampler | Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser Fortuna Plant B | Transportation Laboratory (TL) Number | 032408 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | |
| Sublot number | Asphalt Rubber Binder Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||