Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-07-12-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215607 DEA: 061C6504 EFIS: 0621000099 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-41-R0.5/M5.9 |
| Award Date | 05/04/2021 |
| Closeout Date | 05/04/2022 |
| Work Description | RESURFACE AC PAVEMENT AND INSTALL MEDIAN TYPE K CONCRETE BARRIER. |
| Location Description | FRESNO 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 Level | 1 (Verified on 03/29/2021) |
Sample Information
| Sample Taken Date | 07/12/2021 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 07/15/2021 |
| Sample type | Department Acceptance | A brief description of the sample | PG64-16 |
| The quantity of what the sample constitutes | 1 OF 1 CAN | From where was the sample collected | Source |
| First name of sampler or witnessed by | . | Last name of sampler or witnessed by | . |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | 2021-07-12-27 | |
| The fabricator/manufacturer/facility name | San Joaquin Refining Co Inc | Transportation Laboratory (TL) Number | 039883 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||