Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-09-23-30

Project Information

Project IdentifiersProject ID: 214588
DEA: 020J1504
EFIS: 0219000066
DIST-CO-RTE-PM02-SHA,TEH-36-4.0/8.0,13.0/17.0
Award Date02/20/2020
Closeout Date01/05/2021
Work DescriptionPLACE HMA (TYPE A), REPLACE AC SURFACING AND GUARDRAIL.
Location DescriptionSHASTA AND TEHAMA COUNTIES NEAR PLATINA FROM 0.3 MILE EAST OF HARRISON GULCH ROAD TO 0.8 MILE WEST OF PLATINA ROAD AND FROM 2.6 MILES EAST OF DRY CREEK BRIDGE TO 2.1 MILES WEST OF SALT CREEK BRIDGE
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date09/23/2020 Sample Unique Key30
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 testing10/09/2020
Sample typeAcceptance A brief description of the sampleAB PG 58-34M #3, #4(unknown) No Test
The quantity of what the sample constitutes1 can From where was the sample collectedSource
First name of sampler or witnessed byDevin Last name of sampler or witnessed byOwens
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namevalero benicia Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 58-34 M
ModifiedYes Lot number
Sublot number 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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