Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-06-22-26
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R3.8/R11.7 |
| Award Date | 11/06/2018 |
| Closeout Date | 08/16/2023 |
| Work Description | WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB |
| Location Description | SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 06/22/2020 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 07/07/2020 |
| Sample type | Acceptance | A brief description of the sample | Rubber |
| The quantity of what the sample constitutes | 2 can, July 22, 23 each | From where was the sample collected | Source |
| First name of sampler or witnessed by | JD | Last name of sampler or witnessed by | Atkinson |
| Title of sampler | Materials Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero | Transportation Laboratory (TL) Number | 037382 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | Not set |
| Sublot number | Not set | Asphalt Rubber 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. | |||