Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-05-21-30
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214725 DEA: 020J1304 EFIS: 0219000064 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-139-43.0/53.0 |
| Award Date | 04/10/2020 |
| Closeout Date | 10/06/2020 |
| Work Description | COLD IN-PLACE RECYCLING AND PLACE HMA (TYPE A). |
| Location Description | LASSEN COUNTY ABOUT 42 MILES NORTH OF SUSANVILLE FROM 3.8 MILES NORTH OF SLATE CREEK TO 4.7 MILES SOUTH OF WILLOW CREEK RANCH ROAD |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 05/21/2020 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 06/05/2020 |
| Sample type | Acceptance | A brief description of the sample | Asphalt Binder |
| The quantity of what the sample constitutes | 1 Can, #1 Test | From where was the sample collected | Source |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Montana |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | AB206042 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Albina - Klamath Falls, OR | Transportation Laboratory (TL) Number | 733196 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-34 M |
|---|---|---|---|
| Modified | Yes | Lot number | |
| Sublot number | Tank number | Not set | |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-05-21-30-1 AASHTO T240-17 (Verified)