Sample Record

DIME Sample ID 2023-09-06-28

Project Information

Project IdentifiersProject ID: 994534
DEA: 010H1604
EFIS: 0117000117
DIST-CO-RTE-PM01-MEN-101-R33.7/R43.2
Award Date05/04/2023
Closeout Date10/26/2026
Work DescriptionREPLACE AC SURFACING, PLACE HMA-A, RHMA-G & CONCRETE BARRIER.
Location DescriptionMENDOCINO COUNTY NEAR WILLITS FROM 1.1 MILES NORTH OF WEST ROAD OVERCROSSING TO 0.6 MILE SOUTH OF HAEHL CREEK BRIDGE
QA Service Level1 (Verified on 04/25/2023)

Owner Lab

  • CT D01 - District 1 Materials Laboratory

Sample Information

Sample Taken Date09/06/2023 Sample Unique Key28
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeDepartment Acceptance
A brief description of the sample1 can binder PG 58-22 The quantity of what the sample constitutes1 can binder
From where was the sample collectedJob Site First name of sampler or witnessed byRiley
Last name of sampler or witnessed byMelvin Title of samplerConsultant Tester
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameValero - Benicia
Transportation Laboratory (TL) Number972004 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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