Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-07-23-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214555 DEA: 020J1204 EFIS: 0219000063 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-89-7.0/14.0 |
| Award Date | 01/31/2020 |
| Closeout Date | 10/06/2020 |
| Work Description | HMA OVERLAY WITH REPLACE CONCRETE ASPHALT SURFACING, SHOULDER BACKING. |
| Location Description | SISKIYOU COUNTY AT AND NEAR BARTLE FROM 2.4 MILES NORTH OF BARTLE GAP ROAD TO 0.3 MILE SOUTH OF MILITARY PASS ROAD |
| QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
| Sample Taken Date | 07/23/2020 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | Department Acceptance | A brief description of the sample | Asphalt Binder PG 58-34M |
| The quantity of what the sample constitutes | 1 can, #2 NO TEST (990673) | 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 | 990673 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-34 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. | |||