Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2023-08-15-62
Project Information
Project Identifiers | Project ID: 993589 DEA: 100T6804 EFIS: 1017000005 |
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DIST-CO-RTE-PM | 10-MER-5,165,152,33-Var |
Award Date | 05/12/2022 |
Closeout Date | 03/06/2024 |
Work Description | SHOULDER AND RAMP WIDENING, COLD PLANE, HMA PAVING AND DIKES. |
Location Description | MERCED COUNTY AT ROUTE 5/165 SEPARATION AND AT ROUTE 152/33 SEPARATION |
QA Service Level | 1 (Verified on 03/01/2022) |
Sample Information
Sample Taken Date | 08/15/2023 | Sample Unique Key | 62 |
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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 | 08/23/2023 |
Sample type | Department Acceptance | A brief description of the sample | PG 64-10 |
The quantity of what the sample constitutes | 1 of 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | T | Last name of sampler or witnessed by | Fulkerson |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | 033253 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-10 |
---|---|---|---|
Modified | No | Lot number | |
Sublot number | Tank number | ||
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | Yes |
Multigrade Type | PG 64-16 / PG 64-10 | 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: 2023-08-15-62-1 AASHTO T315-22 (Verified)