Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-28-37

Project Information

Project IdentifiersProject ID: 215680
DEA: 010K4804
EFIS: 0120000102
DIST-CO-RTE-PM01-LAK-20-0.7/5.2,5.9/8.2
Award Date06/16/2021
Closeout DateNot set
Work DescriptionRHMA OVERLAY, COLD PLANE AC PAVEMENT AND PRECOATED AGGREGATE.
Location DescriptionLAKE COUNTY NEAR UPPER LAKE FROM 0.1 MILE WEST OF BLUE LAKES ROAD TO 0.4 MILE WEST OF WITTER SPRINGS ROAD AND FROM 0.1 MILE EAST OF BACHELOR CREEK BRIDGE TO 0. 1 MILE WEST OF ROUTE 29
QA Service Level1 (Verified on 04/28/2021)

Sample Information

Sample Taken Date09/28/2021 Sample Unique Key37
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 testing10/08/2021
Sample typeAcceptance A brief description of the sampleNO TEST, RUBBER Asphalt Binder
The quantity of what the sample constitutes1 CAN From where was the sample collectedSource
First name of sampler or witnessed byK Last name of sampler or witnessed byPoulter
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern Emulsions - White City OR Transportation Laboratory (TL) Number930509
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
Modified Lot number
Sublot number Tank number
Time of sample HMA SupplierGranite Construction - Ukiah
Asphalt Binder SupplierWestern Emulsions - White City Emulsion Plant - White City OR MultigradeNo
Multigrade Type HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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