Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-15-44

Project Information

Project IdentifiersProject ID: 215615
DEA: 101L2304
EFIS: 1020000163
DIST-CO-RTE-PM10-SJ-4-5.4/13.4
Award Date05/05/2021
Closeout Date01/31/2022
Work DescriptionCOLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA.
Location DescriptionSAN JOAQUIN COUNTY NEAR STOCKTON FROM 1 MILE EAST OF MIDDLE RIVER BRIDGE TO 0.1 MILE WEST OF JOHN TURK ROAD
QA Service Level1 (Verified on 04/21/2021)

Sample Information

Sample Taken Date09/15/2021 Sample Unique Key44
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 sample64-28M
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 samplerGRI QC Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGeorge Reed - Clements Plant Transportation Laboratory (TL) Numberc21MC0017
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28 M
ModifiedYes Lot number1
Sublot number5 Tank number
Time of sample HMA SupplierGeorge Reed
Asphalt Binder SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type HMA Design ID

Submitted Tests

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