Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2021-05-11-34

Project Information

Project IdentifiersProject ID: 214426
DEA: 030A5704
EFIS: 0300020593
DIST-CO-RTE-PM03-YUB-20-13.3/R18.2
Award Date01/02/2020
Closeout DateNot set
Work DescriptionBrowns Valley Rehab: CONSTRUCT BRIDGE, REALIGN CURVE, WIDEN SHOULDERS AND CULVERT WORK.
Location DescriptionYUBA COUNTY FROM MARYSVILLE ROAD TO THE YUBA RIVER BRIDGE
QA Service Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date05/11/2021 Sample Unique Key34
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/12/2021
Sample typeVerification A brief description of the samplePG64-16 Marathon binder
The quantity of what the sample constitutes2 cans From where was the sample collectedSource
First name of sampler or witnessed byKenny Last name of sampler or witnessed byMcHugh
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMarathon Transportation Laboratory (TL) Number
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 SupplierMarathon Petroleum Co. LP - Elk Grove CA MultigradeNo
Multigrade Type JMF Verification ID JMF3513-2021-68

Submitted Tests

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