Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-07-20-14

Project Information

Project IdentifiersProject ID: 214385
DEA: 024G6104
EFIS: 0214000028
DIST-CO-RTE-PM02-SHA,TRI-3,299-VAR
Award Date11/04/2019
Closeout Date09/28/2021
Work DescriptionHMA, LIGHTING AND BRIDGE RAIL REPLACEMENT.
Location DescriptionSHASTA AND TRINITY COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/16/2019)

Sample Information

Sample Taken Date07/20/2020 Sample Unique Key14
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 testing07/30/2020
Sample typeAcceptance A brief description of the sampleAsphalt Binder
The quantity of what the sample constitutes1 Can, #4 NO TEST From where was the sample collectedSource
First name of sampler or witnessed byD Last name of sampler or witnessed byHarper
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero - Benicia Transportation Laboratory (TL) Number037390
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 58-34 M
ModifiedYes 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