Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-14-29

Project Information

Project IdentifiersProject ID: 215530
DEA: 051N1704
EFIS: 0520000136
DIST-CO-RTE-PM05-SB-135-1.0/R7.2
Award Date04/12/2021
Closeout Date05/24/2022
Work DescriptionConstruct pavement using partial depth recycling and pave with RHMA
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN SANTA BARBARA COUNTY NEAR LOS ALAMOS FROM 0.3 MILE NORTH OF DEN STREET TO SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 09/16/2021)

Sample Information

Sample Taken Date09/14/2021 Sample Unique Key29
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 testing09/30/2021
Sample typeAcceptance A brief description of the samplePG64-16 ARB
The quantity of what the sample constitutes1 can From where was the sample collectedManufacturer
First name of sampler or witnessed byLopez Last name of sampler or witnessed byZamora
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Buellton Transportation Laboratory (TL) Numberc210917C
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number1
Sublot number6 Asphalt Rubber Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments