Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-04-17-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213406 DEA: 030F2504 EFIS: 0300000075 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL,SAC-80-R11.1/R11.7,M0.0/M0.5 |
| Award Date | 08/21/2020 |
| Closeout Date | Not set |
| Work Description | SAC RIVER BOH (BRYTE BEND) |
| Location Description | SACRAMENTO AND YOLO COUNTIES IN WEST SACRAMENTO AND SACRAMENTO FROM 0.1 MILE WEST OF REED AVENUE UNDERCROSSING TO 0.1 MILE EAST OF SACRAMENTO RIVER BRIDGE AND OVERHEAD |
| QA Service Level | 1 (Verified on 06/07/2018) |
Sample Information
| Sample Taken Date | 04/17/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 04/19/2021 |
| Sample type | Acceptance | A brief description of the sample | Asphalt Binder |
| The quantity of what the sample constitutes | 1 of 1 can | From where was the sample collected | Other |
| First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Mosallem |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | TEICHERT PERKINS | Transportation Laboratory (TL) Number | 783755 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | Teichert Perkins | |
| Asphalt Binder Supplier | Marathon Petroleum Co. LP - Elk Grove CA | Multigrade | No |
| Multigrade Type | Not set | HMA Design ID |