Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-07-08-48

Project Information

Project IdentifiersProject ID: 214515
DEA: 024F6004
EFIS: 0213000012
DIST-CO-RTE-PM02-SIS,TRI-36,96,299-VAR
Award Date01/14/2020
Closeout DateNot set
Work DescriptionBRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT.
Location DescriptionSISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date07/08/2021 Sample Unique Key48
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 testing08/03/2021
Sample typeAcceptance A brief description of the sampleNO TEST
The quantity of what the sample constitutes2 of 2 cans From where was the sample collectedSource
First name of sampler or witnessed byC Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero - Benicia Transportation Laboratory (TL) Numberc853174
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28 M
ModifiedYes Lot number
Sublot number Tank number
Time of sample HMA SupplierMercer Fraser - Willowcreek
Asphalt Binder SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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