Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-06-17-24

Project Information

Project IdentifiersProject ID: 213762
DEA: 032F3404
EFIS: 0300020616
DIST-CO-RTE-PM03-PLA-49-3.1/7.5
Award Date02/28/2019
Closeout Date05/11/2022
Work DescriptionWIDEN SHOULDERS, ADD RETAINING WALLS, REPLACE MBGR, CURBS & ELECTRICAL
Location DescriptionPLACER COUNTY IN AND NEAR AUBURN FROM 0.1 MILE SOUTH OF ROUTE 49/80 SEPARATION TO 0.1 MILE NORTH OF DRY CREEK ROAD
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date06/17/2021 Sample Unique Key24
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 sampleAsphalt Binder
The quantity of what the sample constitutes2ND NO TEST From where was the sample collectedSource
First name of sampler or witnessed byPlant Last name of sampler or witnessed byOperator
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMarathon Elk Grove Transportation Laboratory (TL) Number930932
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 Supplier
Certified Asphalt SupplierMarathon Petroleum Co. LP - Elk Grove CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set

Submitted Tests

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