Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-06-10-30

Project Information

Project IdentifiersProject ID: 215092
DEA: 101C0404
EFIS: 1017000034
DIST-CO-RTE-PM10-MPA-49-0.3/18.5
Award Date10/01/2020
Closeout Date06/27/2022
Work DescriptionCOLD PLANE, PLACE HMA AND REPLACE RAILING AND OVERSIDE DRAINS.
Location DescriptionMARIPOSA COUNTY IN AND NEAR MARIPOSA FROM MADERA COUNTY LINE TO SOUTH JUNCTION ROUTE 140
QA Service Level1 (Verified on 08/20/2020)

Sample Information

Sample Taken Date06/10/2021 Sample Unique Key30
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing06/21/2021
Sample typeAcceptance A brief description of the sampleNOT TESTED ASPHALT BINDER
The quantity of what the sample constitutes1 of 1 can From where was the sample collectedSource
First name of sampler or witnessed byADAM Last name of sampler or witnessed byZ
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMARATHON ELK GROVE Transportation Laboratory (TL) Number034181
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA SupplierTeichert
Certified Asphalt SupplierMarathon Petroleum Co. LP - Elk Grove CA MultigradeNo
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments