Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-09-09-54
Project Information
| Project Identifiers | Project ID: 993505 DEA: 022J4404 EFIS: 0221000078 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-139-38.0/43.0 |
| Award Date | 03/07/2022 |
| Closeout Date | 05/24/2023 |
| Work Description | REPLACE AC SURFACING, ASPHALT RUBBER BINDER, SEAL COAT & HMA OVERLAY. |
| Location Description | LASSEN COUNTY ABOUT 37 MILES NORTH OF SUSANVILLE FROM 4.3 MILES NORTH OF SOUTH GRASSHOPPER ROAD TO 0. 2 MILE SOUTH OF TERMO GRASSHOPPER ROAD |
| QA Service Level | 1 (Verified on 01/18/2022) |
Sample Information
| Sample Taken Date | 09/09/2022 | Sample Unique Key | 54 |
|---|---|---|---|
| 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 | 09/22/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 58-34M |
| The quantity of what the sample constitutes | 2 Cans | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Delgado |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina and American Pavement Systems | Transportation Laboratory (TL) Number | 841605 |
| 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 | 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: 2022-09-09-54-1 AASHTO T315-22 (Verified)
