Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2024-05-29-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994857 DEA: 010H6104 EFIS: 0117000241 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-36-13.5/R36.1 |
| Award Date | 10/31/2023 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AND OVERLAY HMA, & REPLACE GUARDRAILS. |
| Location Description | HUMBOLDT 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 Level | 1 (Verified on 06/08/2023) |
Sample Information
| Sample Taken Date | 05/29/2024 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 05/30/2024 |
| Sample type | Acceptance | A brief description of the sample | 1 can PG 64-16 binder |
| The quantity of what the sample constitutes | 1 can RUBBER BINDER | From where was the sample collected | Source |
| First name of sampler or witnessed by | Ben | Last name of sampler or witnessed by | Reeves |
| Title of sampler | Consultant Tester | Telephone number of sampler | |
| Laboratory sample identification | 24-085 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Mercer Fraser Plant B | Transportation Laboratory (TL) Number | 971763 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| 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 | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||