Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-08-29-3
Project Information
Project Identifiers | Project ID: 215615 DEA: 101L2304 EFIS: 1020000163 |
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DIST-CO-RTE-PM | 10-SJ-4-5.4/13.4 |
Award Date | 05/05/2021 |
Closeout Date | 01/31/2022 |
Work Description | COLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA. |
Location Description | SAN JOAQUIN COUNTY NEAR STOCKTON FROM 1 MILE EAST OF MIDDLE RIVER BRIDGE TO 0.1 MILE WEST OF JOHN TURK ROAD |
QA Service Level | 1 (Verified on 04/21/2021) |
Sample Information
Sample Taken Date | 08/29/2021 | Sample Unique Key | 3 |
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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 testing | Not set |
Sample type | Department Acceptance | A brief description of the sample | Asphalt Rubber Binder |
The quantity of what the sample constitutes | 1 of 2 cans | From where was the sample collected | Job Site |
First name of sampler or witnessed by | M | Last name of sampler or witnessed by | Cozad |
Title of sampler | CONSTR INSP | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | VSS Rubber Plant | Transportation Laboratory (TL) Number | C035017 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
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Performance Grade | PG 64-16 | Lot number | |
Sublot number | Asphalt Rubber 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |