Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-06-15-41

Project Information

Project IdentifiersProject ID: 215412
DEA: 061A9404
EFIS: 0620000141
DIST-CO-RTE-PM06-FRE-5-20.0/21.0,30.9/37.3
Award Date02/18/2021
Closeout Date11/23/2021
Work DescriptionCOLD PLANE AND REPLACE WITH RHMA (TYPE O).
Location DescriptionFRESNO 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 Level1 (Verified on 01/25/2021)

Sample Information

Sample Taken Date06/15/2021 Sample Unique Key41
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, NO test
The quantity of what the sample constitutes1 of 1 can From where was the sample collectedSource
First name of sampler or witnessed byNOT Last name of sampler or witnessed byPROVIDED
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Joaquin Refining Co Inc Transportation Laboratory (TL) Number040436
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
Asphalt Binder SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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