Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-21-38

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 DateNot set
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 Date09/21/2021 Sample Unique Key38
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 sample64-16
The quantity of what the sample constitutes1 Can From where was the sample collectedManufacturer
First name of sampler or witnessed byJose Last name of sampler or witnessed byLopez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMI FRESNO Transportation Laboratory (TL) Numberc039983
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA SupplierCMI Fresno
Asphalt Binder SupplierValero-NuStar PAT - Pittsburg CA MultigradeNo
Multigrade Type HMA Design ID

Submitted Tests

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