Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-05-24-24

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 Date05/24/2021 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 testing06/04/2021
Sample typeAcceptance 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 byKort
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) Numberc034807
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28 M
ModifiedYes Lot number1
Sublot number Tank number
Time of sample HMA SupplierGeorge Reed - Clements
Asphalt Binder SupplierValero Marketing & Supply - Benicia 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