Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-09-13-42
Project Information
Project Identifiers | Project ID: 215414 DEA: 101J2104 EFIS: 1018000144 |
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DIST-CO-RTE-PM | 10-SJ-99-9.4/15.0 |
Award Date | 02/23/2021 |
Closeout Date | 08/26/2022 |
Work Description | PLACE RHMA, COLD PLANE ASPHALT CONCRETE, TRAFFIC STRIPING. |
Location Description | SAN JOAQUIN COUNTY IN AND NEAR STOCKTON FROM 0.2 MILE NORTH OF LATHROP ROAD OVERCROSSING TO 0.3 MILE NORTH OF ARCH ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 02/01/2021) |
Sample Information
Sample Taken Date | 09/13/2021 | Sample Unique Key | 42 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 10/07/2021 |
Sample type | Department Acceptance | A brief description of the sample | PG 64-16 |
The quantity of what the sample constitutes | NO TEST | From where was the sample collected | Supplier |
First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Kort |
Title of sampler | Inspector | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Teichert Materials Vernalis | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
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Performance Grade | PG 64-16 | Lot number | |
Sublot number | Asphalt Rubber 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |