Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-07-11-4

Project Information

Project IdentifiersProject ID: 215348
DEA: 060U4204
EFIS: 0616000004
DIST-CO-RTE-PM06-FRE-99-R4.9/11.6
Award Date02/25/2021
Closeout DateNot set
Work DescriptionCONSTRUCT CRCP, PLACE HMA, AND ROADWAY EXCAVATION.
Location DescriptionFRESNO COUNTY IN AND NEAR SELMA AND FOWLER FROM MCCALL AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF MERCED STREET UNDERCROSSING
QA Service Level1 (Verified on 12/07/2020)

Sample Information

Sample Taken Date07/11/2021 Sample Unique Key4
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 testing07/15/2021
Sample typeAcceptance A brief description of the samplePG70-10
The quantity of what the sample constitutes1 OF 4 CANS From where was the sample collectedSource
First name of sampler or witnessed byVULCAN Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2021-07-06-39
The fabricator/manufacturer/facility nameSan Joaquin Refining Transportation Laboratory (TL) Number039807
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 70-10
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield 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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Test File Attachments