Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-08-19-31

Project Information

Project IdentifiersProject ID: 214919
DEA: 060U4504
EFIS: 0615000298
DIST-CO-RTE-PM06-FRE-168-18.6/T25.5
Award Date06/16/2020
Closeout Date07/29/2022
Work DescriptionCOLD PLANE AC PAVEMENT AND HOT MIX ASPHALT RESURFACING.
Location DescriptionFRESNO COUNTY NEAR PRATHER FROM 0.1 MILE EAST OF SAMPLE ROAD TO OAK CREEK ROAD
QA Service Level1 (Verified on 04/21/2020)

Sample Information

Sample Taken Date08/19/2021 Sample Unique Key31
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 testing08/27/2021
Sample typeAcceptance A brief description of the sampleno test per Mr. Gage, 8/19, 8/25
The quantity of what the sample constitutes1 can From where was the sample collectedManufacturer
First name of sampler or witnessed byNpal Last name of sampler or witnessed by_
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMI Fresno Transportation Laboratory (TL) Number040682
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 SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type HMA Design ID

Submitted Tests

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

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Test File Attachments