Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2021-03-30-33
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215296 DEA: 031F1504 EFIS: 0300001101 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-50-R7.7/R9.5 |
| Award Date | 02/05/2021 |
| Closeout Date | 10/04/2022 |
| Work Description | PLACE HMA, RHMA, AGGREGATE BASE AND FIBER OPTIC SYSTEM. |
| Location Description | SACRAMENTO COUNTY IN AND NEAR RANCHO CORDOVA FROM BRADSHAW ROAD OVERCROSSING TO MATHER FIELD OVERCROSSING |
| QA Service Level | 1 (Verified on 11/30/2020) |
Sample Information
| Sample Taken Date | 03/30/2021 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 03/30/2021 |
| Sample type | Verification | A brief description of the sample | PG 64-16 Asphalt Binder |
| The quantity of what the sample constitutes | 2 cans, for JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Teichert Personnel (SAMPLER) | Last name of sampler or witnessed by | Sam Mosallem (WITNESS) |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | JMF21-019 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Perkins Batch Plant | Transportation Laboratory (TL) Number | C790491 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | Teichert Perkins Batch Plant | |
| Certified Asphalt Supplier | Marathon Petroleum Co. LP - Mojave 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. | |||