Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-08-02-18

Project Information

Project IdentifiersProject ID: 215341
DEA: 101J1204
EFIS: 1018000150
DIST-CO-RTE-PM10-MER-33-R0.0/L5.7
Award Date01/29/2021
Closeout DateNot set
Work DescriptionCOLD PLANE ASPHALT CONCRETE AND PLACE HOT MIX ASPHALT.
Location DescriptionMERCED COUNTY IN AND NEAR DOS PALOS FROM FRESNO COUNTY LINE TO 0.1 MILE NORTH OF EAST JUNCTION ROUTE 152
QA Service Level1 (Verified on 11/30/2020)

Sample Information

Sample Taken Date08/02/2021 Sample Unique Key18
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 testing08/11/2021
Sample typeAcceptance A brief description of the sampleNO TEST. PG64-16
The quantity of what the sample constitutes1 Can From where was the sample collectedManufacturer
First name of sampler or witnessed byM Last name of sampler or witnessed byCozad
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Santa Fe Winton Transportation Laboratory (TL) Number034061
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Asphalt Binder SupplierPacific Northwest Oil - Stockton CA MultigradeNo
Multigrade Type HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.