Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2020-05-11-29
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214587 DEA: 101J1604 EFIS: 1018000180 |
|---|---|
| DIST-CO-RTE-PM | 10-STA-132-27.9/41.0 |
| Award Date | 03/02/2020 |
| Closeout Date | 04/26/2021 |
| Work Description | COLD PLANE AC PAVEMENT, RHMA OVERLAY AND SLURRY SEAL. |
| Location Description | STANISLAUS COUNTY IN AND NEAR WATERFORD FROM G STREET TO 1.2 MILES EAST OF RUSHING ROAD |
| QA Service Level | 1 (Verified on 01/24/2020) |
Sample Information
| Sample Taken Date | 05/11/2020 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 05/27/2020 |
| Sample type | Acceptance | A brief description of the sample | PG 64-10 Asphalt Binder #1 Test |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Source |
| First name of sampler or witnessed by | M | Last name of sampler or witnessed by | Cozad |
| Title of sampler | Mat Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Refining | Transportation Laboratory (TL) Number | 034614 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-10 |
|---|---|---|---|
| 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. | |||