Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-08-17-44

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 Date08/17/2021 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 typeDepartment Acceptance A brief description of the sample64-16
The quantity of what the sample constitutes1 can From where was the sample collectedManufacturer
First name of sampler or witnessed byBrad Last name of sampler or witnessed byM
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKRC Orland Transportation Laboratory (TL) Numberc779899
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number1
Sublot number4 Tank number
Time of sample HMA SupplierKRC Orland
Certified Asphalt SupplierMarathon Petroleum Co. LP - Elk Grove CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set

Submitted Tests

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