Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-06-01-31

Project Information

Project IdentifiersProject ID: 214618
DEA: 033F99U4
EFIS: 0319000311
DIST-CO-RTE-PM03-SUT-99-39.2/41.4
Award Date05/15/2020
Closeout DateNot set
Work DescriptionWIDEN RDWY, HMA, CRCP, WATER LINE, SIGNALS, & LIGHTING SYSTEM.
Location DescriptionSUTTER COUNTY IN AND NEAR LIVE OAK FROM 0.1 MILE SOUTH OF COLEMAN AVENUE TO NEVADA STREET (NORTH INTERSECTION)
QA Service Level1 (Verified on 03/24/2020)

Sample Information

Sample Taken Date06/01/2021 Sample Unique Key31
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 sample2ND NO TEST
The quantity of what the sample constitutes1 Can From where was the sample collectedSource
First name of sampler or witnessed byBrad Last name of sampler or witnessed byMcKeehan
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2021-06-02-24
The fabricator/manufacturer/facility nameValero Benicia Transportation Laboratory (TL) Number706333
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA SupplierDeSilva Gates
Asphalt Binder SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type HMA Design ID

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