Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-07-15-29
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215558 DEA: 101J1304 EFIS: 1018000136 |
|---|---|
| DIST-CO-RTE-PM | 10-CAL,ALP-4,207-R58.0/R65.9,0.0/1.4 |
| Award Date | 04/26/2021 |
| Closeout Date | 12/07/2021 |
| Work Description | COLD PLANE EXISTING PAVEMENT AND RESURFACE WITH HMA. |
| Location Description | CALAVERAS AND ALPINE COUNTIES NEAR TAMARACK ON ROUTE 4 FROM 1.8 MILES WEST OF CABBAGE PATCH LOG ROAD TO ALPINE COUNTY LINE AND NEAR LAKE ALPINE ON ROUTE 207 FROM JUNCTION 4/207 TO END OF ROUTE (MT REBA RESORT) |
| QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
| Sample Taken Date | 07/15/2021 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 testing | 07/26/2021 |
| Sample type | Department Acceptance | A brief description of the sample | NO TEST PG64-28M |
| The quantity of what the sample constitutes | 1 can | From where was the sample collected | Source |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Kort |
| Title of sampler | Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Marathon | Transportation Laboratory (TL) Number | 034890 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-28 M |
|---|---|---|---|
| Modified | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Marathon Petroleum Co. LP - Elk Grove 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. | |||