Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-10-06-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214293 DEA: 060S4604 EFIS: 0615000038 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-99-R0.9/R5.0 |
| Award Date | 12/05/2019 |
| Closeout Date | 05/11/2023 |
| Work Description | REPLACE CONCRETE AND ASPHALT PAVEMENT. |
| Location Description | FRESNO COUNTY IN AND NEAR KINGSBURG AND SELMA FROM ROUTE 99/201 SEPARATION TO 0.3 MILE SOUTH OF SECOND STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 08/05/2019) |
Sample Information
| Sample Taken Date | 10/06/2020 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 10/08/2020 |
| Sample type | Acceptance | A brief description of the sample | #3(040233) No test |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Source |
| First name of sampler or witnessed by | N | Last name of sampler or witnessed by | Pal |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMI entral fresno | Transportation Laboratory (TL) Number | 040233 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-10 |
|---|---|---|---|
| Modified | No | 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. | |||