Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2021-03-08-24

Project Information

Project IdentifiersProject ID: 214764
DEA: 032H6404
EFIS: 0317000167
DIST-CO-RTE-PM03-SAC-12,160-0.4/0.9,L10.5/R0.2
Award Date05/20/2020
Closeout DateNot set
Work DescriptionMODIFY SIGNAL AND LIGHTING SYSTEM, PLACE RHMA AND ROADWAY EXCAVATION.
Location DescriptionSACRAMENTO COUNTY NEAR RIO VISTA ON ROUTE 12 FROM 0.6 MILE EAST OF SACRAMENTO RIVER BRIDGE TO 5.2 MILES WEST OF MOKELUMNE RIVER BRIDGE AND ON ROUTE 160 FROM 3.6 MILES NORTH OF THREE MILE SLOUGH BRIDGE TO 2.7 MILES SOUTH OF CIRCLE DRIVE
QA Service Level1 (Verified on 03/24/2020)

Sample Information

Sample Taken Date03/08/2021 Sample Unique Key24
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing03/09/2021
Sample typeVerification A brief description of the sampleAsphalt Binder PG 64-16
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byGeorge Reed Personnel (SAMPLER) Last name of sampler or witnessed byUnkown (WITNESS)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF21-010 Linked DIME Sample ID2021-03-08-22
The fabricator/manufacturer/facility nameGeorge Reed Inc- Clements Batch Plant Transportation Laboratory (TL) NumberNone provided
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Asphalt Binder SupplierVSS Emultech - West Sacramento CA MultigradeNo
Multigrade TypeNot set JMF Verification ID JMF3513-2021-46

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.