Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-09-18-15
Project Information
Project Identifiers | Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 |
---|---|
DIST-CO-RTE-PM | 03-SAC-5-9.7/24.9 |
Award Date | 05/01/2019 |
Closeout Date | 02/22/2024 |
Work Description | Not set |
Location Description | Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct |
QA Service Level | 1 (Verified on 07/19/2019) |
Sample Information
Sample Taken Date | 09/18/2021 | Sample Unique Key | 15 |
---|---|---|---|
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 | 64-28M |
The quantity of what the sample constitutes | 2 Cans | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | na | Last name of sampler or witnessed by | na |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Teichert Perkins | Transportation Laboratory (TL) Number | c060171 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-28 M |
---|---|---|---|
Modified | Yes | Lot number | 8 |
Sublot number | 4 | Tank number | |
Time of sample | HMA Supplier | Teichert Perkins | |
Certified Asphalt Supplier | Pacific Northwest Oil - Stockton CA | Multigrade | No |
Multigrade Type | Asphalt 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. |