Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-10-13-63

Project Information

Project IdentifiersProject ID: 993208
DEA: 034F38U4
EFIS: 0321000092
DIST-CO-RTE-PM03-YUB-70-16.2/25.8
Award Date11/04/2021
Closeout Date07/15/2025
Work DescriptionWIDEN SHOULDERS AND IMPROVE CLEAR RECOVERY ZONE.
Location DescriptionYUBA COUNTY NEAR MARYSVILLE FROM 0.2 MILE NORTH OF LAURELLEN ROAD TO SOUTH HONCUT CREEK BRIDGE
QA Service Level1 (Verified on 09/10/2021)

Sample Information

Sample Taken Date10/13/2022 Sample Unique Key63
Date that the sample was received by the laboratory/organization performing the testing11/14/2022 Sample typeDepartment Acceptance
A brief description of the samplePG58-22 The quantity of what the sample constitutes1 of 1
From where was the sample collectedJob Site First name of sampler or witnessed byQ
Last name of sampler or witnessed byC Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameValero - Benicia, CA
Transportation Laboratory (TL) Number802331 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedNo Lot number6
Sublot number8 Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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