Sample Record

DIME Sample ID 2022-11-16-19

Project Information

Project IdentifiersProject ID: 215179
DEA: 010F4704
EFIS: 0116000011
DIST-CO-RTE-PM01-HUM-299-30.7/37.7
Award Date11/19/2020
Closeout Date11/27/2023
Work DescriptionPLACE HMA & RHMA-G & CONSTRUCT SOLDIER PILE WALL.
Location DescriptionHUMBOLDT COUNTY NEAR WILLOW CREEK AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 1.1 MILES WEST OF ROUTE 96 JUNCTION
QA Service Level1 (Verified on 09/15/2020)

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

Sample Information

Sample Taken Date11/16/2022 Sample Unique Key19
Date that the sample was received by the laboratory/organization performing the testing11/21/2022 Sample typeDepartment Acceptance
A brief description of the sampleAsphalt Binder Sample The quantity of what the sample constitutes1 quart can, split sample
From where was the sample collectedSource First name of sampler or witnessed byTrena
Last name of sampler or witnessed byFreitas Title of samplerTET
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameValero - Benicia, CA
Transportation Laboratory (TL) Number750377 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA SupplierWillow reek Plant
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeYes
Multigrade TypePG 64-16 / PG 64-10 Asphalt Binder Mix Number
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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