Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-08-16-57

Project Information

Project IdentifiersProject ID: 215572
DEA: 032G1104
EFIS: 0320000230
DIST-CO-RTE-PM03-GLE-162-66.6/76.3
Award Date05/06/2021
Closeout Date06/27/2022
Work DescriptionPLACE RHMA AND COLD IN-PLACE RECYCLE.
Location DescriptionGLENN COUNTY IN AND NEAR WILLOWS FROM 0.2 MILE EAST OF N SHASTA STREET TO 1.0 MILE EAST OF ROAD X
QA Service Level1 (Verified on 03/22/2021)

Sample Information

Sample Taken Date08/16/2021 Sample Unique Key57
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 sampleAsphalt rubber binder
The quantity of what the sample constitutes1 quart can From where was the sample collectedManufacturer
First name of sampler or witnessed byBrad Last name of sampler or witnessed byM
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKRC Orland Transportation Laboratory (TL) Numberc779891
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 number
Sublot number 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