Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-07-26-2

Project Information

Project IdentifiersProject ID: 214175
DEA: 030H4804
EFIS: 0315000198
DIST-CO-RTE-PM03-SAC-99-0.1/1.6,11.8/21.6
Award Date08/20/2019
Closeout Date08/11/2023
Work DescriptionCOLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
QA Service Level1 (Verified on 05/29/2019)

Sample Information

Sample Taken Date07/26/2020 Sample Unique Key2
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 sampleAsphalt Rubber Binder PG64-16
The quantity of what the sample constitutes1 cans, NO Test #44 (043) From where was the sample collectedSource
First name of sampler or witnessed bySushma Last name of sampler or witnessed byLee
Title of samplerRE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero Transportation Laboratory (TL) Number043
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 number
Sublot number Asphalt Rubber 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