Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-11-04-47
Project Information
| Project Identifiers | Project ID: 993867 DEA: 010H8804 EFIS: 0118000122 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-29-R34.9/R35.2 |
| Award Date | 08/02/2022 |
| Closeout Date | 01/23/2023 |
| Work Description | KELSEY CREEK L TURN CHANNELIZATION |
| Location Description | LAKE COUNTY AT KELSEYVILLE FROM KELSEY CREEK BRIDGE TO 0.1 MILE NORTH OF KELSEY CREEK DRIVE |
| QA Service Level | 1 (Verified on 06/13/2022) |
Sample Information
| Sample Taken Date | 11/04/2022 | Sample Unique Key | 47 |
|---|---|---|---|
| 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 | 11/28/2022 |
| Sample type | Department Acceptance | A brief description of the sample | PG 64-16 |
| The quantity of what the sample constitutes | 1 of 1 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | Z | Last name of sampler or witnessed by | THOMAS |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite HWY 175 | Transportation Laboratory (TL) Number | 026576 |
| 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 | Pacific Northwest Oil - Stockton 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: 2022-11-04-47-1 AASHTO T315-22 (Verified)
