Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-07-12-10

Project Information

Project IdentifiersProject ID: 213733
DEA: 051C85U4
EFIS: 0518000156
DIST-CO-RTE-PM05-SCR-1-10.2/17.5
Award DateNot set
Closeout DateNot set
Work DescriptionSanta Cruz 1 CAPM and Bridge Rails
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR SANTA CRUZ FROM NORTH APTOS UNDERPASS TO JUNCTION ROUTE 9.
QA Service Level1 (Verified on 02/14/2019)

Sample Information

Sample Taken Date07/12/2020 Sample Unique Key10
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 testing07/28/2020
Sample typeAcceptance A brief description of the sampleRubber Asphalt Binder
The quantity of what the sample constitutes1 can, #11 NO TEST From where was the sample collectedSource
First name of sampler or witnessed byD Last name of sampler or witnessed byEvans
Title of samplerQC Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Joaquin Refinery Transportation Laboratory (TL) Number842892
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number1
Sublot number65 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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