Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-09-07-76
Project Information
| Project Identifiers | Project ID: 993299 DEA: 022J3904 EFIS: 0221000073 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-45.5/51.6 |
| Award Date | 11/16/2021 |
| Closeout Date | 11/23/2022 |
| Work Description | HMA OVERLAY, REPLACE AC SURFACING AND SHOULDER BACKING. |
| Location Description | SHASTA COUNTY NEAR VIOLA FROM 3.0 MILES EAST OF DEER FLAT ROAD TO 0.5 MILE EAST OF BRIDGE CREEK ROAD |
| QA Service Level | 1 (Verified on 10/18/2021) |
Sample Information
| Sample Taken Date | 09/07/2022 | Sample Unique Key | 76 |
|---|---|---|---|
| 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 | 09/21/2022 |
| Sample type | Department Acceptance | A brief description of the sample | JMF |
| The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | JD | Last name of sampler or witnessed by | _ |
| Title of sampler | Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero - Benicia | Transportation Laboratory (TL) Number | 857909 |
| 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: 2022-09-07-76-1 AASHTO T315-22 (Verified)
