Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-22-55

Project Information

Project IdentifiersProject ID: 215581
DEA: 061B0104
EFIS: 0620000139
DIST-CO-RTE-PM06-MAD-41-13.4/35.2
Award Date05/18/2021
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE HMA (TYPE A).
Location DescriptionMADERA COUNTY AT VARIOUS LOCATIONS FROM 2.0 MILES NORTH OF ROAD 208 TO 0.1 MILE SOUTH OF ROYAL OAKS DRIVE
QA Service Level1 (Verified on 03/22/2021)

Sample Information

Sample Taken Date09/22/2021 Sample Unique Key55
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 sample64-10
The quantity of what the sample constitutes1 can From where was the sample collectedManufacturer
First name of sampler or witnessed byna Last name of sampler or witnessed byna
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Ashlan Transportation Laboratory (TL) Numberc056920
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-10
ModifiedNo Lot number1
Sublot number3 Tank number
Time of sample HMA SupplierVulcan Ashlan
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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