Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2024-08-15-77
Project Information
| Project Identifiers | Project ID: 995514 DEA: 024J8204 EFIS: 0223000077 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD-299-14.7/20.0 |
| Award Date | 06/20/2024 |
| Closeout Date | 11/27/2024 |
| Work Description | SCHAFFER MT CHIP - PLACE ASPHALT RUBBER CHIP SEAL WITH REPLACE AC SURFACING. |
| Location Description | MODOC COUNTY NEAR CANBY FROM 0.1 MILE EAST OF COUNTY ROAD 85 TO 1.7 MILES WEST OF ROUTE 139 |
| QA Service Level | 1 (Verified on 12/29/2023) |
Sample Information
| Sample Taken Date | 08/15/2024 | Sample Unique Key | 77 |
|---|---|---|---|
| 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 | 08/28/2024 |
| Sample type | Verification | A brief description of the sample | NO TEST-PG 58-22 |
| The quantity of what the sample constitutes | 1 OF 1 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Spencer | Last name of sampler or witnessed by | Caperton |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Pavement Systems | Transportation Laboratory (TL) Number | 858021 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 58-22 | Lot number | |
| Sublot number | Asphalt Rubber Binder Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
