Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-06-11-50
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213887 DEA: 024H2604 EFIS: 0218000100 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-97-R11.5/17.1 |
| Award Date | 03/15/2019 |
| Closeout Date | 01/04/2021 |
| Work Description | COLD PLANE AC, REPLACE AC SURFACING, PLACE AC, RUMBLE STRIP & STRIPE. |
| Location Description | SISKIYOU COUNTY ABOUT 12 MILES NORTH OF WEED FROM YELLOW BUTTE ROAD TO 0.6 MILE NORTH OF DEER MOUNTAIN ROAD |
| QA Service Level | 1 (Verified on 04/03/2019) |
Sample Information
| Sample Taken Date | 06/11/2020 | Sample Unique Key | 50 |
|---|---|---|---|
| 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 testing | 06/24/2020 |
| Sample type | Acceptance | A brief description of the sample | Asphalt Binder |
| The quantity of what the sample constitutes | JMF 1 Cans, #1 Test | From where was the sample collected | Source |
| First name of sampler or witnessed by | A | Last name of sampler or witnessed by | Erickson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | AB206061 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Albina - Klamath Falls, OR | Transportation Laboratory (TL) Number | 990770 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-28 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: 2020-06-11-50-1 AASHTO T240-17 (Verified)