Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2021-05-18-28

Project Information

Project IdentifiersProject ID: 215596
DEA: 061C1604
EFIS: 0621000103
DIST-CO-RTE-PM06-MAD,MAD-99-1.5/7.4
Award Date03/16/2021
Closeout Date11/22/2021
Work DescriptionRemove and replace failed pavement on the number 2 lane on both the N and S directions.
Location DescriptionNot set
QA Service Level1 (Verified on 03/29/2021)

Sample Information

Sample Taken Date05/18/2021 Sample Unique Key28
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 testing05/26/2021
Sample typeAcceptance A brief description of the samplePG64-16
The quantity of what the sample constitutes1 of 1 can From where was the sample collectedManufacturer
First name of sampler or witnessed byBrandon Last name of sampler or witnessed byVulcan Tech
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Materials - Madera Transportation Laboratory (TL) Numberc039620
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 number1
Sublot number Tank number
Time of sample HMA SupplierVulcan Materials - Madera
Asphalt Binder SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments