Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-10-25-37
Project Information
| Project Identifiers | Project ID: 215801 DEA: 010F2404 EFIS: 0115000094 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-R5.1/R5.6 |
| Award Date | 08/02/2021 |
| Closeout Date | 11/21/2022 |
| Work Description | HOT MIX ASPHALT (TYPE A AND LEVELING). |
| Location Description | DEL NORTE COUNTY NEAR KLAMATH FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 101 AND EHLERS WAY INTERSECTION |
| QA Service Level | 1 (Verified on 07/06/2021) |
Sample Information
| Sample Taken Date | 10/25/2022 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 10/27/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 1/2" HMA, PG 64-16 |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ricky | Last name of sampler or witnessed by | Werner |
| Title of sampler | Samples Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser - Fortuna Plant A | Transportation Laboratory (TL) Number | 026735 |
| 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 64-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | Yes |
| Multigrade Type | PG 64-16 / PG 64-10 | Asphalt Binder Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-10-25-37-1 AASHTO T315-22 (Verified)
