Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-09-17-17

Project Information

Project IdentifiersProject ID: 214907
DEA: 101K4204
EFIS: 1019000103
DIST-CO-RTE-PM10-MER,STA-165-30.6/36.7,0.0/1.6
Award Date06/09/2020
Closeout Date04/14/2021
Work DescriptionCOLD PLANE AC PAVEMENT, RESURFACE WITH RHMA, AND MICRO-SURFACING.
Location DescriptionMERCED COUNTY IN AND NEAR HILMAR FROM MERCED RIVER BRIDGE TO STANISLAUS COUNTY LINE AND IN STANISLAUS COUNTY NEAR TURLOCK FROM MERCED COUNTY LINE TO ROUTE 99/165 SEPARATION
QA Service Level1 (Verified on 04/28/2020)

Sample Information

Sample Taken Date09/17/2020 Sample Unique Key17
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 testing09/25/2020
Sample typeAcceptance A brief description of the samplePG 64-16 Asphalt Binder #3(034041), #4(034051), #5(034056) No Test
The quantity of what the sample constitutes1 can From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byCozad
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFNF AC INDUSTRIES Transportation Laboratory (TL) Number034041
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number1
Sublot number10 Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Asphalt Binder SupplierNot set MultigradeNot set
Multigrade TypeNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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