Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-09-02-69
Project Information
| Project Identifiers | Project ID: 212498 DEA: 021H5204 EFIS: 0217000009 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-3,263-48.5/49.7 - 49.41 |
| Award Date | 08/04/2022 |
| Closeout Date | 09/30/2025 |
| Work Description | Roadway Rehabilitation |
| Location Description | 02-Sis-3, 263-R46.8/R48.0, 49.07/49.41 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 09/02/2022 | Sample Unique Key | 69 |
|---|---|---|---|
| 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 | 58-34m, 23.6% Rap |
| The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Brandon | Last name of sampler or witnessed by | Evangelista |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | JF Shea Fawndale | Transportation Laboratory (TL) Number | 891190 |
| 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: 2022-09-02-69-1 AASHTO T315-22 (Verified)
