Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-08-12-15

Project Information

Project IdentifiersProject ID: 214700
DEA: 030F2804
EFIS: 0312000069
DIST-CO-RTE-PM03-SAC-99-7.1/9.4
Award Date01/21/2021
Closeout Date08/21/2023
Work DescriptionDillard Overcrossing and McConnel Overhead
Location DescriptionHwy 99, Elk Grove, CA
QA Service Level1 (Verified on 04/20/2020)

Sample Information

Sample Taken Date08/12/2021 Sample Unique Key15
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 testing08/18/2021
Sample typeAcceptance A brief description of the sampleNo test
The quantity of what the sample constitutes1 of 1 From where was the sample collectedSource
First name of sampler or witnessed byDerrick Last name of sampler or witnessed byMorales
Title of samplerGranite Tech Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero Transportation Laboratory (TL) Number849115
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 number5
Sublot number12 Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia 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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Sample File Attachments

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Test File Attachments