Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-09-21-40

Project Information

Project IdentifiersProject ID: 212535
DEA: 031A9204
EFIS: 0300020608
DIST-CO-RTE-PM03-SUT-20-5-11.3
Award Date06/11/2019
Closeout Date12/01/2021
Work DescriptionSUTTER BYPASS WIDENING AND REHAB
Location DescriptionNEAR YUBA CITY FROM SUTTER BYPASS TO 0.1 MILE WEST OF LYTLE ROAD.
QA Service Level1 (Verified on 07/23/2018)

Sample Information

Sample Taken Date09/21/2020 Sample Unique Key40
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 testing09/30/2020
Sample typeAcceptance A brief description of the sample2 cans each, #22(766397), #23(765831), #24(765834) No test
The quantity of what the sample constitutes1 Can From where was the sample collectedSource
First name of sampler or witnessed byE Last name of sampler or witnessed byChavez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero Transportation Laboratory (TL) Number766397
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 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