Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2024-06-24-103
Project Information
| Project Identifiers | Project ID: 215542 DEA: 024H6604 EFIS: 0219000001 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-60.8/93.8 |
| Award Date | 10/12/2023 |
| Closeout Date | 03/21/2025 |
| Work Description | SIS WORKER SAFETY SHOPP |
| Location Description | SISKIYOU COUNTY AT VARIOUS LOCATIONS FROM 0.3 MILE WEST OF KLAMATH RIVER BRIDGE BR. NO. 02-0119 TO 0.8 MILE EAST OF EMPIRE CREEK |
| QA Service Level | 1 (Verified on 07/08/2021) |
Sample Information
| Sample Taken Date | 06/24/2024 | Sample Unique Key | 103 |
|---|---|---|---|
| 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 | 07/16/2024 |
| Sample type | Production Start-Up | A brief description of the sample | PG58-34 NON-MODIFIED BINDER |
| The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | R | Last name of sampler or witnessed by | Melvin |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina - Klamath Falls, OR | Transportation Laboratory (TL) Number | D79597 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | D79597 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-34 M |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | JF SHEA FAWNDALE | |
| Certified Asphalt Supplier | Albina Asphalt (Klamath Falls Plant) - Klamath Falls OR | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-24-103-1 AASHTO T315-22 (Verified)
DIME Test ID: 2024-06-24-103-2 AASHTO T315-22 (Verified)
DIME Test ID: 2024-06-24-103-3 AASHTO T315-22 (Verified)
DIME Test ID: 2024-06-24-103-5 AASHTO T51-22 (Verified)
DIME Test ID: 2024-06-24-103-6 AASHTO T313-22 (Verified)
