Sample Record
Owner Lab
- CT D05 - Monterey Construction Field Laboratory
DIME Sample ID 2023-12-13-7
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995087 DEA: 051P5904 EFIS: 0522000086 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-0.0/5.0 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Cold plane, RHMA-G |
| Location Description | Watsonville area, County line to Scenic pullout |
| QA Service Level | 1 (Verified on 08/21/2023) |
Sample Information
| Sample Taken Date | 12/13/2023 | Sample Unique Key | 7 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 12/13/2023 |
| Sample type | Verification | A brief description of the sample | 64-16 ARB |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | 3rd | Last name of sampler or witnessed by | Party |
| Title of sampler | National Blendng | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | National Blending Company | Transportation Laboratory (TL) Number | 332 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | San Joaquin Refining Co Inc |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | 1 |
| Sublot number | 31 | Asphalt Rubber Binder Mix Number | 23_1354 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||