Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2020-04-23-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214136 DEA: 010F3604 EFIS: 0115000115 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-R39.2/R48.3 |
| Award Date | 07/31/2019 |
| Closeout Date | 01/04/2021 |
| Work Description | COLD PLANE AC PAVEMENT, RHMA OVERLAY, AND GUARDRAIL INSTALLATION. |
| Location Description | HUMBOLDT COUNTY NEAR REDCREST, PEPPERWOOD, AND STAFFORD FROM ENGLWOOD PARK UNDERCROSSING TO EEL RIVER BRIDGE AND OVERHEAD |
| QA Service Level | 1 (Verified on 06/24/2019) |
Sample Information
| Sample Taken Date | 04/23/2020 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 05/26/2020 |
| Sample type | Acceptance | A brief description of the sample | PG 64-16 Asphalt Binder #1 test |
| The quantity of what the sample constitutes | 4 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jack | Last name of sampler or witnessed by | Naylor |
| Title of sampler | Mat Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | National Blending Company | Transportation Laboratory (TL) Number | 899094 |
| 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 | Not set |
| Sublot number | Not set | 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
| 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. | |||