Sample Record

DIME Sample ID 2022-09-06-24

Project Information

Project IdentifiersProject ID: 993297
DEA: 010F8204
EFIS: 0116000067
DIST-CO-RTE-PM01-HUM-101-R90.1/109.6
Award Date01/27/2022
Closeout Date03/04/2024
Work DescriptionPLACE RHMA-G AND HMA (TYPE A).
Location DescriptionIN 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 Level1 (Verified on 10/12/2021)

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

Sample Information

Sample Taken Date09/06/2022 Sample Unique Key24
Date that the sample was received by the laboratory/organization performing the testing09/08/2022 Sample typeDepartment Acceptance
A brief description of the sampleAsphalt Rubber Binder PG 64-16 The quantity of what the sample constitutes1 Can
From where was the sample collectedFabricator First name of sampler or witnessed byR
Last name of sampler or witnessed byWerner Title of samplerTester
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMercer Fraser Fortuna Plant B
Transportation Laboratory (TL) Number032410 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

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 TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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