Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-07-12-28

Project Information

Project IdentifiersProject ID: 215607
DEA: 061C6504
EFIS: 0621000099
DIST-CO-RTE-PM06-FRE-41-R0.5/M5.9
Award Date05/04/2021
Closeout Date05/04/2022
Work DescriptionRESURFACE AC PAVEMENT AND INSTALL MEDIAN TYPE K CONCRETE BARRIER.
Location DescriptionFRESNO COUNTY ABOUT 6 MILES NORTH OF LEMOORE FROM 0.5 MILE NORTH OF EXCELSIOR AVENUE UNDERCROSSING TO 0.2 MILE SOUTH OF ELKHORN AVENUE
QA Service Level1 (Verified on 03/29/2021)

Sample Information

Sample Taken Date07/12/2021 Sample Unique Key28
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 testing07/14/2021
Sample typeAcceptance A brief description of the sampleBINDER 64-16
The quantity of what the sample constitutes1 OF 3 CANS From where was the sample collectedSource
First name of sampler or witnessed byJOSE Last name of sampler or witnessed byGRANITE BAY
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2021-07-12-27
The fabricator/manufacturer/facility nameSan Joaquin Refining Co Inc Transportation Laboratory (TL) Number039882
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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