Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-05-17-21
Project Information
| Project Identifiers | Project ID: 215596 DEA: 061C1604 EFIS: 0621000103 |
|---|---|
| DIST-CO-RTE-PM | 06-MAD,MAD-99-1.5/7.4 |
| Award Date | 03/16/2021 |
| Closeout Date | 11/22/2021 |
| Work Description | Remove and replace failed pavement on the number 2 lane on both the N and S directions. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/29/2021) |
Sample Information
| Sample Taken Date | 05/17/2021 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 05/26/2021 |
| Sample type | Acceptance | A brief description of the sample | Extender oil |
| The quantity of what the sample constitutes | 1 of 1 can | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | N/A | Last name of sampler or witnessed by | N/A |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vulcan Materials - Madera | Transportation Laboratory (TL) Number | c039622 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Modifier | Asphalt Modifier Type | Raffex 120 ACB |
|---|---|---|---|
| HMA Design ID |
Submitted Tests
| DIME Test ID | Test Method | Tester Name | Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||