Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-09-29-37

Project Information

Project IdentifiersProject ID: 214388
DEA: 051F6804
EFIS: 0514000046
DIST-CO-RTE-PM05-MON-1-39.8/74.6
Award Date11/05/2019
Closeout DateNot set
Work DescriptionRHMA OVERLAY ON EXISTING ROADWAY AND REPLACE GUARDRAIL.
Location DescriptionMONTEREY COUNTY FROM TORRE CANYON BRIDGE NEAR BIG SUR TO SAN LUIS AVENUE IN CARMEL
QA Service Level1 (Verified on 09/06/2019)

Sample Information

Sample Taken Date09/29/2020 Sample Unique Key37
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 testing10/07/2020
Sample typeAcceptance A brief description of the sampleAsphalt Rubber Binder PG 64-16
The quantity of what the sample constitutes1 can, NO TEST #2, #(972758), #3(972759) From where was the sample collectedSource
First name of sampler or witnessed byI Last name of sampler or witnessed byVasques
Title of samplerQC RTS Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Joaquin Refinery Transportation Laboratory (TL) Number979374
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number1
Sublot number15 HMA Design ID

Submitted Tests

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