Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-03-02-24

Project Information

Project IdentifiersProject ID: 215677
DEA: 044G0804
EFIS: 0412000332
COOP: 042676
DIST-CO-RTE-PM04-SOL-80-R10.4/30.2
Award Date01/18/2022
Closeout DateNot set
Work DescriptionHighway widening, overhead signs, and electronic toll system.
Location DescriptionIn Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing.
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date03/02/2023 Sample Unique Key24
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 testing03/03/2023
Sample typeQuality Assurance A brief description of the sampleDrum - 3/4" HMA
The quantity of what the sample constitutes750 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byPlant/ CJ Sousa Last name of sampler or witnessed byNot witness
Title of samplerQC Lab Manager Telephone number of sampler5306513393
Laboratory sample identificationCon_23_ 179 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan - Vallejo Transportation Laboratory (TL) NumberC727145
Inspector Lot Number from the Transportation Laboratory (TL) FormLot 6 SL 8 Structure unique identifier
Structure nameHWY 80 Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number6
Sublot number8 Tank number
Time of sample03/02/2023 HMA SupplierVulcan - Vallejo
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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