Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-06-29-29
Project Information
Project Identifiers | Project ID: 215075 DEA: 060Q9104 EFIS: 0614000005 |
---|---|
DIST-CO-RTE-PM | 06-TUL-99-19.2/19.8 |
Award Date | 09/25/2020 |
Closeout Date | 05/11/2023 |
Work Description | BRIDGE DECK AND OUTSIDE GIRDER REPLACEMENT. |
Location Description | TULARE COUNTY NEAR TIPTON FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF AVENUE 152 OVERCROSSING |
QA Service Level | 1 (Verified on 07/28/2020) |
Sample Information
Sample Taken Date | 06/29/2021 | Sample Unique Key | 29 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 07/06/2021 |
Sample type | Acceptance | A brief description of the sample | PG70-10 |
The quantity of what the sample constitutes | 1 of 1 cans | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | B | Last name of sampler or witnessed by | Lathan |
Title of sampler | Lab tech | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Jaxon - Deer Creek | Transportation Laboratory (TL) Number | c056230 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 70-10 |
---|---|---|---|
Modified | No | Lot number | |
Sublot number | Tank number | ||
Time of sample | HMA Supplier | Jaxon - Deer Creek | |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |