Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-07-22-26

Project Information

Project IdentifiersProject ID: 210618
DEA: 06342534
EFIS: 0600000382
COOP: 061616A2
DIST-CO-RTE-PM06-FRE-180-R74.1/R78.6
Award Date04/05/2017
Closeout Date07/06/2021
Work DescriptionCONSTRUCT SEGMENT 3 OF KINGS CANYON EXPRESSWAY
Location DescriptionFRESNO COUNTY ABOUT 8.4 MILES EAST OF FRESNO FROM 0.7 MILE WEST OF SMITH AVENUE TO 0.7 MILE EAST OF FRANKWOOD AVENUE
QA Service Level1 (Verified on 07/10/2017)

Sample Information

Sample Taken Date07/22/2020 Sample Unique Key26
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 PG 64-10
The quantity of what the sample constitutes1 Can, #3 NO TEST (057027) From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byShirvani
Title of sampler TE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Joaquin Refinery Transportation Laboratory (TL) Number057027
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-10
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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Sample File Attachments

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Test File Attachments