Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-07-14-1

Project Information

Project IdentifiersProject ID: 215296
DEA: 031F1504
EFIS: 0300001101
DIST-CO-RTE-PM03-SAC-50-R7.7/R9.5
Award Date02/05/2021
Closeout Date10/04/2022
Work DescriptionPLACE HMA, RHMA, AGGREGATE BASE AND FIBER OPTIC SYSTEM.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR RANCHO CORDOVA FROM BRADSHAW ROAD OVERCROSSING TO MATHER FIELD OVERCROSSING
QA Service Level1 (Verified on 11/30/2020)

Sample Information

Sample Taken Date07/14/2021 Sample Unique Key1
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 testing07/14/2021
Sample typeDepartment Acceptance A brief description of the samplePG 64-16 Asphalt Binder
The quantity of what the sample constitutes1 CAN From where was the sample collectedSource
First name of sampler or witnessed byJESSICA Last name of sampler or witnessed bySHEFFIELD
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2021-07-09-10
The fabricator/manufacturer/facility nameTeichert Perkins Batch Plant Transportation Laboratory (TL) Number850189
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
Certified Asphalt SupplierMarathon Petroleum Co. LP - Elk Grove CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments