Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-10-06-10

Project Information

Project IdentifiersProject ID: 214293
DEA: 060S4604
EFIS: 0615000038
DIST-CO-RTE-PM06-FRE-99-R0.9/R5.0
Award Date12/05/2019
Closeout Date05/11/2023
Work DescriptionREPLACE CONCRETE AND ASPHALT PAVEMENT.
Location DescriptionFRESNO COUNTY IN AND NEAR KINGSBURG AND SELMA FROM ROUTE 99/201 SEPARATION TO 0.3 MILE SOUTH OF SECOND STREET UNDERCROSSING
QA Service Level1 (Verified on 08/05/2019)

Sample Information

Sample Taken Date10/06/2020 Sample Unique Key10
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 testing10/08/2020
Sample typeDepartment Acceptance A brief description of the sample#3(040233) No test
The quantity of what the sample constitutes1 Can From where was the sample collectedSource
First name of sampler or witnessed byN Last name of sampler or witnessed byPal
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMI entral fresno Transportation Laboratory (TL) Number040233
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-10
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
No results found.

Sample File Attachments

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Test File Attachments