Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-06-30-34

Project Information

Project IdentifiersProject ID: 214528
DEA: 024G5404
EFIS: 0214000024
DIST-CO-RTE-PM02-TEH-36-40.3/42.1
Award Date01/08/2020
Closeout Date09/15/2021
Work DescriptionPLACE HMA AND MINOR CONCRETE, AND MODIFY ELECTRICAL SYSTEM.
Location DescriptionTEHAMA COUNTY IN RED BLUFF FROM 0.6 MILE EAST OF BAKER ROAD TO 0.2 MILE EAST OF EAST SAND SLOUGH BRIDGE
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date06/30/2020 Sample Unique Key34
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 testing07/14/2020
Sample typeAcceptance A brief description of the sampleAsphalt Binder
The quantity of what the sample constitutes1 can, NO Test #2 (583434) From where was the sample collectedSource
First name of sampler or witnessed byC Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample IDAB206069
The fabricator/manufacturer/facility nameValero - Benicia Transportation Laboratory (TL) Number853434
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments