Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2023-02-21-26
Project Information
Project Identifiers | Project ID: 993866 DEA: 010G6104 EFIS: 0117000027 |
---|---|
DIST-CO-RTE-PM | 01-HUM-101-57.1/67.8 |
Award Date | 07/27/2022 |
Closeout Date | 07/26/2024 |
Work Description | Project Name: Fortuna Median Roadside Safety Project; Description of Work: Roadway Excavation; Asphalt Treated Perm. Base & HMA (GAP Graded) |
Location Description | HUMBOLDT COUNTY IN AND NEAR FORTUNA FROM 0.5 MILE SOUTH OF ROUTE 36 TO 0.4 MILE SOUTH OF HOOKTON ROAD |
QA Service Level | 1 (Verified on 06/13/2022) |
Sample Information
Sample Taken Date | 02/21/2023 | Sample Unique Key | 26 |
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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 | 02/24/2023 |
Sample type | Department Acceptance | A brief description of the sample | PG 64-28M JMF |
The quantity of what the sample constitutes | 1 can | From where was the sample collected | Source |
First name of sampler or witnessed by | Jon | Last name of sampler or witnessed by | Atturio |
Title of sampler | Tester | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Mercer Fraser - Fortuna | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-28 M |
---|---|---|---|
Modified | Yes | Lot number | |
Sublot number | Tank number | ||
Time of sample | HMA Supplier | Mercer Fraser Fortuna Plant | |
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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-02-21-26-1 AASHTO T315-22 (Verified)