Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-08-19-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214919 DEA: 060U4504 EFIS: 0615000298 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-168-18.6/T25.5 |
| Award Date | 06/16/2020 |
| Closeout Date | 07/29/2022 |
| Work Description | COLD PLANE AC PAVEMENT AND HOT MIX ASPHALT RESURFACING. |
| Location Description | FRESNO COUNTY NEAR PRATHER FROM 0.1 MILE EAST OF SAMPLE ROAD TO OAK CREEK ROAD |
| QA Service Level | 1 (Verified on 04/21/2020) |
Sample Information
| Sample Taken Date | 08/19/2021 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 08/27/2021 |
| Sample type | Department Acceptance | A brief description of the sample | no test per Mr. Gage, 8/19, 8/25 |
| The quantity of what the sample constitutes | 1 can | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Npal | Last name of sampler or witnessed by | _ |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMI Fresno | Transportation Laboratory (TL) Number | 040682 |
| 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 | San Joaquin Refinery - Bakersfield 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. | |||