Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-03-02-24
Project Information
| Project Identifiers | Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-R10.4/30.2 |
| Award Date | 01/18/2022 |
| Closeout Date | Not set |
| Work Description | Highway widening, overhead signs, and electronic toll system. |
| Location Description | In 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 Level | 1 (Verified on 04/11/2022) |
Sample Information
| Sample Taken Date | 03/02/2023 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 03/03/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Drum - 3/4" HMA |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Plant/ CJ Sousa | Last name of sampler or witnessed by | Not witness |
| Title of sampler | QC Lab Manager | Telephone number of sampler | 5306513393 |
| Laboratory sample identification | Con_23_ 179 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan - Vallejo | Transportation Laboratory (TL) Number | C727145 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Lot 6 SL 8 | Structure unique identifier | |
| Structure name | HWY 80 | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | 6 |
| Sublot number | 8 | Tank number | |
| Time of sample | 03/02/2023 | HMA Supplier | Vulcan - Vallejo |
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
