Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-10-05-19

Project Information

Project IdentifiersProject ID: 214527
DEA: 020H69U4
EFIS: 0218000060
DIST-CO-RTE-PM02-TRI-299-10.9/11.2,42.9/43.3
Award Date01/03/2020
Closeout Date10/05/2021
Work DescriptionINSTALL ROCK FALL DRAPERY
Location DescriptionTRINITY COUNTY NEAR BURNT RANCH FROM 0.4 MILE EAST OF HENNESSEY ROAD TO 0.3 MILE WEST OF BURNT RANCH SCHOOL ROAD AND FROM 0.5 MILE WEST OF CANYON CREEK BRIDGE TO CANYON CREEK BRIDGE
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date10/05/2020 Sample Unique Key19
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 testing10/23/2020
Sample typeAcceptance A brief description of the sampleAB PG 58-34M #3 No test
The quantity of what the sample constitutes1 Can From where was the sample collectedSource
First name of sampler or witnessed byC Last name of sampler or witnessed byBryant
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero - Benicia, CA Transportation Laboratory (TL) Number853471
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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Test File Attachments