Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-08-02-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215341 DEA: 101J1204 EFIS: 1018000150 |
|---|---|
| DIST-CO-RTE-PM | 10-MER-33-R0.0/L5.7 |
| Award Date | 01/29/2021 |
| Closeout Date | 03/02/2022 |
| Work Description | COLD PLANE ASPHALT CONCRETE AND PLACE HOT MIX ASPHALT. |
| Location Description | MERCED COUNTY IN AND NEAR DOS PALOS FROM FRESNO COUNTY LINE TO 0.1 MILE NORTH OF EAST JUNCTION ROUTE 152 |
| QA Service Level | 1 (Verified on 11/30/2020) |
Sample Information
| Sample Taken Date | 08/02/2021 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 08/11/2021 |
| Sample type | Acceptance | A brief description of the sample | NO TEST. PG64-16 |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | M | Last name of sampler or witnessed by | Cozad |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Santa Fe Winton | Transportation Laboratory (TL) Number | 034061 |
| 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 | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Pacific Northwest Oil - Stockton 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. | |||