Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-05-26-44
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215253 DEA: 021J4804 EFIS: 0220000083 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA,TRI-36-8.0/11.912,27.1/R41.139 |
| Award Date | 02/05/2021 |
| Closeout Date | 09/30/2021 |
| Work Description | ASPHALT RUBBER CHIP SEAL AND TRAFFIC STRIPE. |
| Location Description | SHASTA AND TRINITY COUNTIES AT AND NEAR PLATINA FROM 0.4 MILE EAST OF MIDDLE FORK COTTONWOOD CREEK BRIDGE TO BEEGUM CREEK BRIDGE AND FROM 1.3 MILES EAST OF BRAMLET ROAD TO SHASTA COUNTY LINE |
| QA Service Level | 1 (Verified on 10/30/2020) |
Sample Information
| Sample Taken Date | 05/26/2021 | Sample Unique Key | 44 |
|---|---|---|---|
| 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 testing | 06/23/2021 |
| Sample type | Acceptance | A brief description of the sample | PG58-22 |
| The quantity of what the sample constitutes | 3RD NO TEST | From where was the sample collected | Source |
| First name of sampler or witnessed by | D. | Last name of sampler or witnessed by | OWENS |
| Title of sampler | PEI | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero-Benicia Asphalt Plant | Transportation Laboratory (TL) Number | Not Provided |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | 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. | |||