Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-07-17-39

Project Information

Project IdentifiersProject ID: 209520
DEA: 06470904
EFIS: 0600000973
COOP: 061529
DIST-CO-RTE-PM06-MAD-99-R7.5/15.1
Award Date03/14/2019
Closeout Date05/11/2023
Work DescriptionWIDEN FREEWAY FROM 4 LANES TO 6 LANES.
Location DescriptionMADERA COUNTY IN AND NEAR MADERA FROM AVENUE 12 OVERCROSSING TO 0.9 MILE NORTH OF AVENUE 17 OVERCROSSING
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date07/17/2020 Sample Unique Key39
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 testing07/23/2020
Sample typeAcceptance A brief description of the sampleAsphalt Binder PG 70-10
The quantity of what the sample constitutes #23 no test From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byShirvani
Title of samplerTE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Joaquin Refinery Transportation Laboratory (TL) Number027522
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 70-10
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