Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-06-26-23

Project Information

Project IdentifiersProject ID: 214582
DEA: 020J1704
EFIS: 0219000068
DIST-CO-RTE-PM02-SIS-3-36.0/38.1,R45.0/R46.9
Award Date02/06/2020
Closeout Date08/27/2020
Work DescriptionASPHALT RUBBER CHIP SEAL WITH REPLACE AC SURFACING AND STRIPING.
Location DescriptionSISKIYOU COUNTY IN AND NEAR YREKA FROM 0.2 MILE NORTH OF REIDEL RANCH ROAD TO MOFFETT CREEK ROAD AND FROM 3.5 MILES NORTH OF UPPER SOAP CREEK ROAD TO 0.7 MILE NORTH OF RICHMAN ROAD
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date06/26/2020 Sample Unique Key23
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 testing07/29/2020
Sample typeAcceptance A brief description of the sampleAsphalt Binder PG 64-16
The quantity of what the sample constitutes1 can, #3 NO Test From where was the sample collectedSource
First name of sampler or witnessed byJ Last name of sampler or witnessed byCarmichael
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero Benicia Transportation Laboratory (TL) Number990659
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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Test File Attachments