Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2024-07-16-62

Project Information

Project IdentifiersProject ID: 995029
DEA: 010K3104
EFIS: 0120000062
DIST-CO-RTE-PM01-MEN-101-30.8/R33.8
Award Date09/29/2023
Closeout Date09/08/2025
Work DescriptionCalpella Cable Median Barrier
Location DescriptionMENDOCINO COUNTY NEAR UKIAH FROM ROUTE 101/20 SEPARATION TO 0.1 MILE SOUTH OF UVA DRIVE/NORTH STATE STREET
QA Service Level1 (Verified on 08/07/2023)

Sample Information

Sample Taken Date07/16/2024 Sample Unique Key62
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 testing07/19/2024
Sample typeAcceptance A brief description of the sample1 can PG 64-16 binder
The quantity of what the sample constitutes1 can binder From where was the sample collectedSource
First name of sampler or witnessed byCasey(Ken McHugh) Last name of sampler or witnessed byMcHugh
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification24-123 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBodean - Santa Rosa Transportation Laboratory (TL) Number802713
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

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

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