Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-05-21-23
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215325 DEA: 101J1704 EFIS: 1018000179 |
|---|---|
| DIST-CO-RTE-PM | 10-AMA-88-32.3/38.0 |
| Award Date | 12/30/2020 |
| Closeout Date | 08/30/2021 |
| Work Description | HMA, TRAFFIC STRIPING, COLD PLANE AC AND RUMBLE STRIP. |
| Location Description | AMADOR COUNTY AT AND NEAR BARTON FROM 0.4 MILE WEST OF SILVER DRIVE TO 0.2 MILE WEST OF SHAKE RIDGE ROAD |
| QA Service Level | 1 (Verified on 11/23/2020) |
Sample Information
| Sample Taken Date | 05/21/2021 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 testing | 06/04/2021 |
| Sample type | Department Acceptance | A brief description of the sample | PG64-28M |
| 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 | J | Last name of sampler or witnessed by | Kort |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | George Reed - Clements Plant | Transportation Laboratory (TL) Number | c034801 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-28 M |
|---|---|---|---|
| Modified | Yes | Lot number | 1 |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | George Reed - Clements | |
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||