Sample Record

Owner Labs

  • CT D01 - District 1 Materials Laboratory
  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-04-09-39

Project Information

Project IdentifiersProject ID: 994857
DEA: 010H6104
EFIS: 0117000241
DIST-CO-RTE-PM01-HUM-36-13.5/R36.1
Award Date10/31/2023
Closeout DateNot set
Work DescriptionCOLD PLANE AND OVERLAY HMA, & REPLACE GUARDRAILS.
Location DescriptionHUMBOLDT COUNTY AT AND NEAR BRIDGEVILLE FROM 3.4 MILES WEST OF GRIZZLY CREEK BRIDGE TO 0.8 MILE EAST OF SOUTH FORK VAN DUZEN RIVER
QA Service Level1 (Verified on 06/08/2023)

Sample Information

Sample Taken Date04/09/2024 Sample Unique Key39
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 testing04/09/2024
Sample typeVerification A brief description of the sample1 can Rubberized PG 64-16 binder
The quantity of what the sample constitutes1 can of Rubberized binder From where was the sample collectedSource
First name of sampler or witnessed byBen Last name of sampler or witnessed byReeves
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identification24-044 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMercer Fraser Plant B Transportation Laboratory (TL) Number827378
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
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

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments