Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-07-22-27
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214571 DEA: 020J1104 EFIS: 0219000062 |
|---|---|
| DIST-CO-RTE-PM | 02-PLU-70-33.1/42.1 |
| Award Date | 02/07/2020 |
| Closeout Date | 04/27/2021 |
| Work Description | PLACE HMA & SHOULDER BACKING, & REMOVE & REPLACE PAVEMENT DELINEATION. |
| Location Description | PLUMAS COUNTY AT AND NEAR KEDDIE FROM INDIAN CREEK BRIDGE TO 0.3 MILE WEST OF SPANISH CREEK BRIDGE NO. 09-0018 |
| QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
| Sample Taken Date | 07/22/2020 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 07/31/2020 |
| Sample type | Acceptance | A brief description of the sample | Modified Asphalt Binder PG 64-28M |
| The quantity of what the sample constitutes | 1 Can, #2, #3(896928), #4(896929), #5(896930), #6(unknown), #7(unknown), #8(unknown) NO TEST | From where was the sample collected | Source |
| First name of sampler or witnessed by | Derick | Last name of sampler or witnessed by | PEI |
| Title of sampler | PEI | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina | Transportation Laboratory (TL) Number | 896808 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-28 M |
|---|---|---|---|
| Modified | Yes | 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||