Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-09-22-54
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 | 09/22/2021 | Sample Unique Key | 54 |
|---|---|---|---|
| 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 | 10/01/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Rubberized PG64-16 |
| The quantity of what the sample constitutes | 1 can | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jose | Last name of sampler or witnessed by | Lopez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMI Fresno | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||