Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-10-12-54
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993699 DEA: 032G3604 EFIS: 0321000117 |
|---|---|
| DIST-CO-RTE-PM | 03-GLE-45-13.0/17.2 |
| Award Date | 06/02/2022 |
| Closeout Date | 07/26/2023 |
| Work Description | ROADWAY EXCAVATION, HMA (TYPE A) AND CLASS 2 AB. |
| Location Description | GLENN COUNTY NEAR HAMILTON CITY FROM 0.5 MILE NORTH OF BAYLISS BLUE GUM ROAD TO ROAD 29 |
| QA Service Level | 1 (Verified on 04/05/2022) |
Sample Information
| Sample Taken Date | 10/12/2022 | 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 | 11/09/2022 |
| Sample type | Department Acceptance | A brief description of the sample | PG64-16 |
| The quantity of what the sample constitutes | 1 Quart Can | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Q | Last name of sampler or witnessed by | L |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Hallwood | Transportation Laboratory (TL) Number | 802335 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | 1 |
| Sublot number | 1 | Tank number | |
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-10-12-54-1 AASHTO T315-22 (Verified)