Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-05-27-27

Project Information

Project IdentifiersProject ID: 215325
DEA: 101J1704
EFIS: 1018000179
DIST-CO-RTE-PM10-AMA-88-32.3/38.0
Award Date12/30/2020
Closeout Date08/30/2021
Work DescriptionHMA, TRAFFIC STRIPING, COLD PLANE AC AND RUMBLE STRIP.
Location DescriptionAMADOR COUNTY AT AND NEAR BARTON FROM 0.4 MILE WEST OF SILVER DRIVE TO 0.2 MILE WEST OF SHAKE RIDGE ROAD
QA Service Level1 (Verified on 11/23/2020)

Sample Information

Sample Taken Date05/27/2021 Sample Unique Key27
Date that the sample was received by the laboratory/organization performing the testing06/04/2021 Sample typeDepartment Acceptance
A brief description of the samplePG64-28M The quantity of what the sample constitutes 1 of 1 can
From where was the sample collectedManufacturer First name of sampler or witnessed byJ
Last name of sampler or witnessed byDehoff Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameGeorge Reed - Clements Plant
Transportation Laboratory (TL) Numberc033969 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28 M
ModifiedYes Lot number1
Sublot number Tank number
Time of sample HMA SupplierGeorge Reed - Clements
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade TypeNot set Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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