Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-09-13-42
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215414 DEA: 101J2104 EFIS: 1018000144 |
|---|---|
| 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 |
|---|---|---|---|
| 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 | 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 | |
|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||