Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-07-15-29

Project Information

Project IdentifiersProject ID: 215558
DEA: 101J1304
EFIS: 1018000136
DIST-CO-RTE-PM10-CAL,ALP-4,207-R58.0/R65.9,0.0/1.4
Award Date04/26/2021
Closeout Date12/07/2021
Work DescriptionCOLD PLANE EXISTING PAVEMENT AND RESURFACE WITH HMA.
Location DescriptionCALAVERAS 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 Level1 (Verified on 03/26/2021)

Sample Information

Sample Taken Date07/15/2021 Sample Unique Key29
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 testing07/26/2021
Sample typeDepartment Acceptance A brief description of the sampleNO TEST PG64-28M
The quantity of what the sample constitutes1 can From where was the sample collectedSource
First name of sampler or witnessed byJ Last name of sampler or witnessed byKort
Title of samplerInspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMarathon Transportation Laboratory (TL) Number034890
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28 M
Modified 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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Test File Attachments