Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-06-15-41
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215412 DEA: 061A9404 EFIS: 0620000141 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-5-20.0/21.0,30.9/37.3 |
| Award Date | 02/18/2021 |
| Closeout Date | 11/23/2021 |
| Work Description | COLD PLANE AND REPLACE WITH RHMA (TYPE O). |
| Location Description | FRESNO COUNTY FROM 2 MILES NORTH OF ROUTE 5/33/145 SEPARATION TO SOUTH DERRIC AVENUE OVERCROSSING AND FROM 1 MILE NORTH OF ROUTE 5/33 SEPARATION TO 1.1 MILES SOUTH OF KAMM AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 01/25/2021) |
Sample Information
| Sample Taken Date | 06/15/2021 | Sample Unique Key | 41 |
|---|---|---|---|
| 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 | 06/21/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Asphalt Binder, NO test |
| The quantity of what the sample constitutes | 1 of 1 can | From where was the sample collected | Source |
| First name of sampler or witnessed by | NOT | Last name of sampler or witnessed by | PROVIDED |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | San Joaquin Refining Co Inc | Transportation Laboratory (TL) Number | 040436 |
| 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 | ||
| Certified Asphalt Supplier | San Joaquin Refinery - Bakersfield 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. | |||