Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-26-2

Project Information

Project IdentifiersProject ID: 215410
DEA: 060U5204
EFIS: 0616000003
DIST-CO-RTE-PM06-MAD-99-R14.0/R14.5,15.1/19.6
Award Date04/01/2021
Closeout Date10/03/2022
Work DescriptionHMA (TYPE A) AND RHMA (GAP GRADED) RESURFACING.
Location DescriptionMADERA COUNTY IN AND NEAR MADERA FROM 0.2 MILE SOUTH OF AVENUE 17 OVERCROSSING TO 0.3 MILE NORTH OF AVENUE 17 OVERCROSSING AND FROM 1.0 MILE NORTH OF AVENUE 17 OVERCROSSING TO 0.9 MILE NORTH OF AVENUE 20 OVERCROSSING
QA Service Level1 (Verified on 01/25/2021)

Sample Information

Sample Taken Date09/26/2021 Sample Unique Key2
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 testing10/01/2021
Sample typeAcceptance A brief description of the samplePG70-10
The quantity of what the sample constitutes1 CAN From where was the sample collectedSource
First name of sampler or witnessed byBrandon Last name of sampler or witnessed byVULCAN TECH
Title of samplerVULCAN TECH Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Joaquin Refinery Transportation Laboratory (TL) Numberc026880
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 70-10
ModifiedNo Lot number2
Sublot number14 Tank number
Time of sample HMA SupplierVULCAN MADERA
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield 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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Test File Attachments