Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-06-26-23
Project Information
Project Identifiers | Project ID: 214582 DEA: 020J1704 EFIS: 0219000068 |
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DIST-CO-RTE-PM | 02-SIS-3-36.0/38.1,R45.0/R46.9 |
Award Date | 02/06/2020 |
Closeout Date | 08/27/2020 |
Work Description | ASPHALT RUBBER CHIP SEAL WITH REPLACE AC SURFACING AND STRIPING. |
Location Description | SISKIYOU 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 Level | 1 (Verified on 01/22/2020) |
Sample Information
Sample Taken Date | 06/26/2020 | Sample Unique Key | 23 |
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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 | 07/29/2020 |
Sample type | Acceptance | A brief description of the sample | Asphalt Binder PG 64-16 |
The quantity of what the sample constitutes | 1 can, #3 NO Test | From where was the sample collected | Source |
First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Carmichael |
Title of sampler | Consultant | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Valero Benicia | Transportation Laboratory (TL) Number | 990659 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
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Modified | No | Lot number | |
Sublot number | Tank number | Not set | |
Time of sample | Not set | HMA Supplier | Not set |
Certified Asphalt Supplier | Not set | Multigrade | Not set |
Multigrade Type | Not set | Asphalt 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |