Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-01-54

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 Date09/01/2021 Sample Unique Key54
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 typeDepartment Acceptance A brief description of the sampleAsphalt Rubber Binder
The quantity of what the sample constitutes1 can From where was the sample collectedJob Site
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) Numberc210901
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 number8 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