Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-06-10-17

Project Information

Project IdentifiersProject ID: 214175
DEA: 030H4804
EFIS: 0315000198
DIST-CO-RTE-PM03-SAC-99-0.1/1.6,11.8/21.6
Award Date08/20/2019
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
QA Service Level1 (Verified on 05/29/2019)

Sample Information

Sample Taken Date06/10/2021 Sample Unique Key17
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 testing06/14/2021
Sample typeAcceptance A brief description of the sampleRubberized PG64-16
The quantity of what the sample constitutes1 can From where was the sample collectedManufacturer
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGregory
Title of samplerInspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGeorge Reed - Clements Plant Transportation Laboratory (TL) Numberc724398
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number
Sublot number HMA Design ID

Submitted Tests

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